摘要
目的探讨人工肝血浆置换术患者医院感染因素及预防方法,提高重症肝炎患者抢救成功率,为临床提供可靠治疗依据。方法对我院2005年1月至2007年12月92名进行人工肝血浆置换治疗患者进行回顾性调查。结果发生医院感染12例,15例次数,感染率为13.04%,感染12例中死亡7例,死亡率58.33%,非感染80例中死亡17例,死亡率21.25%,二者相比差异有统计学意义。结论人工肝血浆置换术患者由于病情重,免疫力低下、并发症多、静脉置管等侵入性操作,属于医院感染高危人群,直接影响患者抢救成功率和预后,必须引起临床高度重视。
Objective Explore heavy hepatitis patients who accepted artificial liver support system treatment in order to enhance patients who accepted artificial liver support system treatment salvage success rate and provide credible cure foundation to clinic. Methods Do review investigate to 92 patients who accepted artificial liver support system treatment from Jan 2005 to Dec 2007. Result 12 patients occur hospital infection ,in which died 7 patients,death rate is 58.33%;80 patients didn't occur hospital infection,in which died 17 patients,death rate is 21.25%,compare of these two group have statistical difference meaning. Conclusion Most of patients who accepted artificial liver support system treatment have disease condition serious,immunity lower, so many complication, the time of laying pipeline via jugular vein is longer , they belong to highly danger crowed.Once infection turn up,it will directly influence patients's salvage success rate and prognosis.So hospital infection must be paid much attention greatly in clinic.
关键词
人工肝
医院感染
分析
artificial liver support system
hospital infection
investigate analyse