慢性肝病合并细菌感染临床特点分析

目的 :分析慢性肝病合并细菌感染的特点。方法 :对 1997～ 2 0 0 2年住院的慢性重度、重症肝类及肝硬化合并细菌感染患者 52例进行回顾性分析。结果 :其中医院内感染占 2 9 8%。感染的部位 :腹腔感染 40 4% ,血液感染17 3 % ,呼吸道感染 18 1% ,肠道感染 9 6% ,胆道感染 7 7% ,口腔感染占 6 3 % ,其他感染占 3 3 % ,重型肝炎的感染率最高 ,其次为肝硬化和慢性重度肝炎。结论 :肝病患者免疫力低下 ,易于合并细菌感染 ,感染使病情加重 ,影响肝病的愈后 ;提高患者免疫力 ,增强控制医院感染的措施 ,重视潜伏感染状态病灶的处理 ,早期诊治感染可提高肝病患者的生存率

Analysis of The Clinical Characteristics of Chronic Hepa topathy Combined with Bacterial Infection

Objective:To analyse the characteristics of chronic hep at opathy combined with bacterial infection.Methods:52cases of severe h epatitis and cirrhosis complicated with bacterial infection from 1997 to 2002 we re retrospectively analysed.Results:29.8% of them was infected in h ospital.The infected regions were abdominal cavity(40.4%),blood(17.3%),respirato ry tract(18.1%),intestinal tract(9.6%),biliary tract(7.7%),oral cavity(6.3%),and the others(3.3%).The infection rate of severe hepatitis was the highest.C onclusions:Patients with hepatopathy have hypoimmunity and are susceptible to concurrent bacterial infection.Infection worse the patient's condition and i t affects the prognosis of hepatopathy.The promotion of patient's immunity and t aking measures and controling hospital infection may increase the survival rate.