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接受静脉曲张出血硬化治疗患者的医院获得性败血症

Nosocomial septicemia in patients undergoing sclerotherapy for variceal hemorrhage.

作者信息

Gerhartz H H, Sauerbruch T, Weinzierl M, Ruckdeschel G

出版信息

Endoscopy. 1984 Jul;16(4):129-30. doi: 10.1055/s-2007-1018555.

DOI:10.1055/s-2007-1018555
PMID:6332011
Abstract

The data of 19 consecutive unselected patients undergoing emergency sclerotherapy who were admitted to a single intensive care unit throughout the course of one year, were analyzed retrospectively for clinical and bacteriological signs of septicemia after the first sclerotherapy session. Ten had fever and/or chills, and in six of these patients microorganisms were cultured from arterial blood or central venous catheter tips. The data show that about one-third of patients with liver cirrhosis and acute variceal hemorrhage undergoing emergency sclerotherapy may develop septic disease.

摘要

对连续19例未做挑选、在一年期间于同一重症监护病房接受急诊硬化疗法的患者数据进行回顾性分析,观察首次硬化疗法后败血症的临床和细菌学迹象。其中10例出现发热和/或寒战,这10例患者中有6例从动脉血或中心静脉导管尖端培养出微生物。数据显示,接受急诊硬化疗法的肝硬化合并急性静脉曲张出血患者中,约三分之一可能发生脓毒症。

相似文献

1
Nosocomial septicemia in patients undergoing sclerotherapy for variceal hemorrhage.接受静脉曲张出血硬化治疗患者的医院获得性败血症
Endoscopy. 1984 Jul;16(4):129-30. doi: 10.1055/s-2007-1018555.
2
The long-term morbidity and mortality rate in a cohort of patients with liver cirrhosis and oesophageal varices.一组肝硬化和食管静脉曲张患者的长期发病率和死亡率。
Hepatogastroenterology. 1995 Nov-Dec;42(6):979-84.
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Treatment of bleeding esophageal varices with cyanoacrylate and polidocanol, or polidocanol alone: results of a prospective study in an unselected group of patients with cirrhosis of the liver.用氰基丙烯酸酯和聚多卡醇或单用聚多卡醇治疗出血性食管静脉曲张:对一组未经选择的肝硬化患者的前瞻性研究结果
Endoscopy. 1997 May;29(4):241-6. doi: 10.1055/s-2007-1004183.
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[Endoscopic sclerosing therapy to prevent hemorrhage of esophageal varices in patients with portal hypertension (a 4-year study)].[内镜硬化治疗预防门静脉高压症患者食管静脉曲张出血(一项4年研究)]
Vutr Boles. 1989;28(4):72-5.
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Intramural hematoma of the esophagus after variceal sclerotherapy.静脉曲张硬化治疗后食管壁内血肿
Endoscopy. 1991 Sep;23(5):299-301. doi: 10.1055/s-2007-1010694.
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Prophylactic endoscopic sclerosing treatment of the esophageal wall in varices -- a prospective controlled randomized trial.内镜下对食管壁静脉曲张进行预防性硬化治疗——一项前瞻性对照随机试验。
Endoscopy. 1982 Jan;14(1):4-5. doi: 10.1055/s-2007-1021560.
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[Emergency sclerotherapy in esophageal varices bleeding: prospective study in unselected patients with portal hypertension].[食管静脉曲张出血的急诊硬化治疗:对未经选择的门静脉高压患者的前瞻性研究]
Pol Merkur Lekarski. 2007 May;22(131):354-6.
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Early rebleeding and death at 6 weeks in alcoholic cirrhotic patients with acute variceal bleeding treated with emergency endoscopic injection sclerotherapy.接受急诊内镜注射硬化疗法治疗的酒精性肝硬化急性静脉曲张出血患者的早期再出血及6周时的死亡情况。
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Endoscopic therapy for bleeding esophageal varices improves the outcome of Child C cirrhotic patients.内镜治疗食管静脉曲张出血可改善Child C级肝硬化患者的预后。
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[Complications of endoscopic sclerotherapy of esophageal varices].[食管静脉曲张内镜硬化治疗的并发症]
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引用本文的文献

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Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy.经软性胃肠内镜和支气管镜传播感染。
Clin Microbiol Rev. 2013 Apr;26(2):231-54. doi: 10.1128/CMR.00085-12.
2
Multiple brain abscesses following esophageal dilation.食管扩张术后多发性脑脓肿
Childs Nerv Syst. 1995 Jun;11(6):351-3. doi: 10.1007/BF00301670.
3
Pneumococcal bacteraemia: a late complication following endoscopic variceal sclerotherapy.肺炎球菌血症:内镜下静脉曲张硬化治疗后的晚期并发症。
Postgrad Med J. 1990 Sep;66(779):790-1. doi: 10.1136/pgmj.66.779.790.