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目的:分析不明原因发热重症患者拔除中心静脉导管临床特点。方法:对我院2013-2014年153例不明原因发热怀疑导管相关性感染患者的临床资料进行回顾性分析,分为未感染患者101例以及感染患者52例。对比分析两组患者导管留置时间、ICU住院时间以及APACHEII评分等。结果:153例患者中共有52例患者感染,培养出致病菌58株,包括30株革兰阳性球菌、21株革兰阴性球菌、7株真菌。无论是导管留置时间、ICU住院时间以及APACHE II评分感染组患者均高于未感染患者(P<0.05)两组间比较差异显著。结论:针对于不明原因发热的患者而言,对中心静脉导管相关性感染最行之有效的处理方式则是将感染导管拔除。
Objective: To analyze the clinical features of central venous catheter in patients with severe unexplained fever. Methods: A retrospective analysis was performed on 153 cases of suspected catheter-related infections in our hospital from 2013 to 2014. There were 101 uninfected patients and 52 infected patients. The catheterization time, hospital stay time and APACHEII score of two groups were compared and analyzed. Results: A total of 52 patients were infected in 153 patients. 58 pathogenic bacteria were cultured, including 30 Gram-positive cocci, 21 Gram-negative cocci and 7 fungi. There was significant difference between the two groups in terms of catheter indwelling time, ICU length of hospital stay, and APACHE II score infection group (P <0.05). CONCLUSIONS: For patients with unexplained fever, the most effective treatment for central venous catheter-related infections is removal of the infected catheter.