肝硬化合并感染157例临床分析

目的 了解硬化合并感染的状况和对转归的影响。方法 以157例肝硬化患为研究对象，结合临床，实验室检查及转归进行分析。结果 41例合并各种院内外感染，感染发生率26.11%，医院感染率为12.10%，老年组医院感染发生率（16.13%)明显高于非老年组（9.47%)；本组肝硬化患的总死亡率为15.92%，合并感染的死亡率（39.0%)，明显高于无合并感染（7.75%)，多系统感染死亡率（57.14%)明显高于单一系统感染（14.70%)合并感染的老年患死亡率（29.41%)低于非老年组（45.83%)。结论 肝硬化患易并发各种感染，是造成病情恶化导致死亡的重要原因。

Clinical analysis of hepatic cirrhosis complicated with infection: 157 cases

Objective To explore the occurrence of infection in hepatic cirrhosis cases and its influence on prognosis. Methods The clinical data of 157 cases of hepatic cirrhosis were analyzed. Results 41 cases were complicated with nosocomial infection or community-acquired infection. The elderly group had higher incidence rate of infection than un-elderly group (16.13% vs 9.47%). The mortality rate of infection group was higher than non-infection group(39.0% vs 7.75%). Multiple systems infection had higher mortality rate than single system infection (57.14% vs 14.70%). Conclusion Infection was a common complication and played an important role in the progression of hepatic cirrhosis.