老年肝硬化患者医院感染调查

目的：调查老年肝硬化患者的医院感染特点并探讨其高发的原因。方法：回顾性总结分析某院近10年来出院和病死的老年肝硬化患者的临床特点及医院感染的发生情况。结果：320例老年肝硬化患者中，共发生医院感染116例，感染率36．25％；医院感染部位构成比以下呼吸道最高，占31．03％，腹腔(包括胸腔感染)次之，占29．31％。住院时间长，有脾肿大、上消化道出血的患者医院感染率较高。结论：老年肝硬化患者医院感染的发生与住院时间长短、基础病的严重程度、病程中有无出血、有无脾肿大密切相关。

Investigation of nosocomial infection in old patients with hepatocirrhosis

Objective To study nosocomial infection (NI) in old patients with hepatocirrhosis and the cause of frequent occurrence of NI. Methods NI and clinical features of old patients with hepatocirrhosis in a hospital in recent 10 years were analysed retrospectively. Results Among 320 patients, 116 cases of NI occurred, IN rate was 32.65% ; the highest constitutional NI rate was lower respiratory tract, which was 31.03% , the next was abdominal and thoracic cavity, which was 29.31% . Patients with longer hospitalization time, splenomegaly and hemorrhage of upper digestive tract had higher NI rates. Conclusion NI in the old patients was closely related with the duration of hospitalization time, the severity of underlying diseases, the hemorrhage during the cause of diseases and splenomegaly.