肝硬化上消化道出血合并细菌感染的临床研究.pdfVIP

13 肝硬化上消化道出血合并细菌感染的临床研究 夏玲玲许夕海尹华发 [摘要]目的 了解肝硬化上消化道出血合并细菌感染对再出血率及4周病死率的影响。方法 观察70例入 院前1周未使用抗菌药物的肝硬化上消化道出血患者，分别于人院后1、2、3、5与7天进行血液、尿液、腹水细菌培养，采 论肝硬化患者发生细菌感染时会明显增加肝脏损害程度，并可能增加近期死亡率，应引起I临床足够重视。 [关键词]肝硬化；上消化道出血；细菌感染 CliIlic onbacterialinfectionincirrhotic with study patientsgastrointestinalbleeding HuaFa X谊LingLing，洳ⅪHai，Yin DepartmentofInfectiousDusease，FirstAffiliatedHospitalofAnhui 230022 University．Heifei To of [Abstract] determinetheincidencebacterialinfectionsincirrhotic with Objective patientsgastrointestinalbleeding andtheinflueneeofinfectionsonontheriskof and 70 for rebleedingdeath．MethodsCirrhotic admitted patients gastrointesti— nal whohadnotreceivedantibacterialtreatmentinthe 7 were asciticfluid bleeding previousdays included．Blood，urine，and 7 cNtureswere 1，2，3，5and afteradmission．Resultsinfectionsweredocumentedin systematicallyperformed days Thirty—six 20 7 ofadmission．Inwith days bacterialinfection，mean scorewas patients(28．6％)within patients Child—pughsignificantly higher；early rebleedingWasmorefrequent(50％VSl0％；P0．01)，and4weekmortality 0．01)．Conclusionwith entswithoutbatenalinfection． Companeclpati words]Cirrhosisof infection [Key liver；Gastrointestinalbleeding；Bacterial 肝硬化患者肝功能衰竭时易继发细菌感染，文献 (1)肝硬化：根据病史及典型的肝硬化临床表现 报道【lJ约占住院患者中4