重型病毒性肝炎患者医院内腹腔感染的调查研究

探讨重型肝炎医院感染的防治措施。对３４７例住院重型病毒性肝炎合并腹腔感染患者进行了回顾性调查分析。调查结果显示患者院内感染率为４５．２４％，除１例外，均为自发性细菌性腹膜炎，其临床表现及腹水常规检查不够典型，病原菌培养阳性率较低，患者并发症多，预后欠佳。作者认为加强医院感染管理，强调及时诊断、合理治疗对控制院内腹腔感染乃至原发病的治疗有积极意义。

Investigation and analysis of nosocomial abdominal cavity infection in severe viral hepatitis

A retrospective investigation was made on 347 patients with severe viral hepatitis.The results showed that the nosocomial abdominal cavity infection rate was 45 24%.Except one case,the nosocomial infection in all patients was primary bacterial peritonitis.The clinical manifestations and the result of routine test of ascites were atypical.The postitive rate of cultures for pathogenic bacteria was low;complications were common;and the prognosis was poor.The diagnosis and preventive measures against the nosocomial infection were discussed.