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目的 探讨肝硬化患者并发细菌感染的常见部位及细菌。方法 通过对 186例肝硬化患者 ,其中代偿期 2 0例 ,失代偿期 12 6例 ,慢性重症肝炎 40例 ,找出各部位感染情况并采取相应部位标本行细菌培养。结果 186例肝硬化患者发生细菌感染者 79例、91例次 ,感染部位分别为腹腔、消化道、胆道、呼吸道、泌尿道 ,培养阳性 42例次 ,以大肠杆菌为主。结论 肝硬化患者由于机体免疫功能减退 ,肝功能严重损害下 ,肝脏解毒功能减退而导致细菌感染。
Objective To investigate the common parts and bacteria of bacterial infection in patients with cirrhosis. Methods 186 cases of cirrhosis patients, including 20 cases of decompensation, decompensated 126 cases, 40 cases of chronic severe hepatitis, to find out the various parts of the infection and take the appropriate parts of the specimen bacterial culture. Results A total of 79 bacterial infections were found in 186 patients with liver cirrhosis, 91 patients were infected by abdominal cavity, digestive tract, biliary tract, respiratory tract and urinary tract respectively. The infection was positive in 42 cases with Escherichia coli. Conclusion In patients with liver cirrhosis, bacterial infection is caused by the diminished immune function, severe liver damage and detoxification of the liver.