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肝昏迷患者的感染(作者译)

[Infection in patients with hepatic coma (author's transl)].

作者信息

Gassner A, Kleinberger G, Pichler M, Lenz K, Graninger W

出版信息

Leber Magen Darm. 1981 Jan;11(1):21-4.

PMID:7012497
Abstract

66 patients with hepatic coma were treated from 1972 to 1979 in the intensive care unit. Incidence and etiology of bacterial infections in these patients were evaluated retrospectively. Bacterial cultures were positive in a high proportion of the cases investigated as compared to the situation on a normal ward. Bacterial cultures were performed in 51 patients (77.3%); cultures from 35 patients were positive. Gramnegative bacteria accounted for 56.4%, grampositive bacteria for 34.8% and candida albicans for 8.8% of all the cases. It is pointed out, that invasive diagnostic and therapeutic manoeuvers in intensive care patients carry a high risk of infection.

摘要

1972年至1979年期间,重症监护病房对66例肝昏迷患者进行了治疗。对这些患者细菌感染的发生率和病因进行了回顾性评估。与普通病房的情况相比,在所调查的病例中,细菌培养呈阳性的比例很高。对51例患者(77.3%)进行了细菌培养;35例患者的培养结果呈阳性。在所有病例中,革兰氏阴性菌占56.4%,革兰氏阳性菌占34.8%,白色念珠菌占8.8%。需要指出的是,重症监护患者的侵入性诊断和治疗操作具有很高的感染风险。

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