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脾切除患者的感染。对131例患者的研究。

Infections in splenectomized patients. A study of 131 patients.

作者信息

Edwards L D, Digioia R

出版信息

Scand J Infect Dis. 1976;8(4):255-61. doi: 10.3109/inf.1976.8.issue-4.07.

DOI:10.3109/inf.1976.8.issue-4.07
PMID:1006172
Abstract

A retrospective study on infections was done on 131 patients (predominately adults) undergoing splenectomy with a median follow-up to 11 months. 43 patients died, and 23 of them were infected. Three succumbed primarily from their infection; in 9 the infection was a contributing factor; and 11 died primarily from their underlying disease with an associated infection. 64 patients had lymphoreticular malignancies, 53 had a nonmalignant condition and 14 had carcinomas. Infection rates were 42%, 42%, and 21% respectively. Bacteremia rates (all in adults) were were 5%, 4%, and 7% respectively. Over four-fifths of the infections were hospital acquired. 12 of 14 community onset infections occurred in patients with lymphoreticular malignancies.

摘要

对131例接受脾切除术的患者(主要为成年人)进行了一项关于感染的回顾性研究,中位随访时间为11个月。43例患者死亡,其中23例发生感染。3例主要死于感染;9例感染是一个促成因素;11例主要死于基础疾病并伴有感染。64例患者患有淋巴网状系统恶性肿瘤,53例患有非恶性疾病,14例患有癌症。感染率分别为42%、42%和21%。菌血症发生率(均为成年人)分别为5%、4%和7%。超过五分之四的感染是医院获得性的。14例社区获得性感染中有12例发生在患有淋巴网状系统恶性肿瘤的患者中。

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