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[肝硬化患者的败血症]

[Septicemia in cirrhotic patients].

作者信息

Khalifa P, Boissonnas A, Meyniard O, Sereni D, Christoforov B, Sicard D, Cremer G A, Laroche C

出版信息

Ann Med Interne (Paris). 1985;136(8):620-4.

PMID:3833007
Abstract

The clinical features of 22 patients with cirrhosis of the liver complicated by septicaemia were studied retrospectively and compared with a control group of 52 patients with septicaemia without cirrhosis. The incidence of septicaemia was higher in the cirrhotic group (4.25 p. 100) than in the control group (0.64 p. 100). The overall incidence of cirrhosis in patients with septicaemia was 19 p. 100. Nine of the 22 cirrhotic patients and 16 patients in the control group died. Prognostic factor common to both groups of patients were: shock, coma, delayed apyrexia and the isolation of more than one infecting organism on blood culture. Poor prognostic factors specific to the cirrhotic patients were the presence of ascites, especially if infected, and signs of hepatocellular failure.

摘要

对22例肝硬化合并败血症患者的临床特征进行回顾性研究,并与52例无肝硬化的败血症患者对照组进行比较。肝硬化组败血症的发生率(4.25‰)高于对照组(0.64‰)。败血症患者中肝硬化的总体发生率为19‰。22例肝硬化患者中有9例死亡,对照组有16例死亡。两组患者共同的预后因素为:休克、昏迷、热程延迟以及血培养分离出不止一种感染菌。肝硬化患者特有的不良预后因素为腹水的存在,尤其是感染性腹水,以及肝细胞衰竭的体征。

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