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1、·3534·中華醫(yī)院感染學(xué)雜志2014年第24卷第14期ChinJNosocomiolVo1.24No.142014doi:10.11816/cn.ni.2014—135494論著乙型肝炎肝癌患者肺部感染的臨床治療研究朱斌,張平,魏曉霞,侯麗娟,張光文(1.新鄉(xiāng)醫(yī)學(xué)院第一附屬醫(yī)院感染疾病科2.神經(jīng)內(nèi)科,河南衛(wèi)輝453100)摘要:目的探討慢性乙型肝炎合并肝癌患者肺部感染的臨床治療與對(duì)策分析,為臨床提供參考。方法選取2013年1月一2014年1月220例慢性乙型肝炎合并肝癌的住院患者,對(duì)發(fā)生肺部感染的相關(guān)因素進(jìn)行統(tǒng)計(jì)分析,根據(jù)藥敏結(jié)果選擇抗菌藥物治療,并闡明相
2、關(guān)干預(yù)措施;采用SPSS15.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果220例慢性乙型肝炎合并肝癌患者發(fā)生肺部感染40例,感染率為18.2o0//;共檢出57株病原菌,其中革蘭陽性球菌16株占28.07%,肺炎鏈球菌、金黃色葡萄球菌和表皮葡萄球菌居前3位;革蘭陰性桿菌31株占54.39,肺炎克雷伯菌、大腸埃希菌、銅綠假單胞菌和陰溝腸桿菌居前4位;真菌1O株占17.54%,白色假絲酵母菌和熱帶假絲酵母菌居首位;40例患者治愈17例占42.5o%,顯效21例占52.50,無效2例占5.0o,治療有效率為95.00。結(jié)論應(yīng)按照以人為本的原則進(jìn)行個(gè)體化護(hù)理,縮短住院時(shí)間、減少氣管插
3、管等侵入性操作,做好相關(guān)病原菌檢測(cè),并應(yīng)根據(jù)藥敏試驗(yàn)的結(jié)果合理選用抗菌藥物治療感染。關(guān)鍵詞:慢性乙型肝炎;肝癌;肺部感染;控制對(duì)策中圖分類號(hào):R512.62文獻(xiàn)標(biāo)識(shí)碼:A文章編號(hào):1005—4529(2014)14—35·34-03ClinicaltreatmentofpulmonaryinfectionsinpatientswithhepatitisBcomplicatedwithlivercancerZHuBin,ZHANGPing,WEIXiao—xia,HOULi—juan,ZHANGOuang—wed(FirstAffiliatedHospital
4、ofXinxiangMedicalCollege,耽“,Henan453100,China)Abstract:OBJECTIVEToexploretheclinicaltreatmentofpulmonaryinfectionsinthepatientswithchronichepa—titisBcomplicatedwithlivercancerandputforwardcountermeasuressoastoprovidetheguidancefortheclinicaltreatment.METHODSAtotalof220patientswithc
5、hronichepatitisBcomplicatedwithlivercancerwhowerehos—pitalizedfromJan2013toJan2014wereenrolledinthestudy,thentheriskfactorsforthepulmonaryinfectionswerestatisticallyanalyzed,theantibioticswereusedfortreatmentaccordingtotheresultofdrugsusceptibilitytesting,thecorrespondinginterventi
6、onmeasuresweredefined,andthestatisticalanalysisofdatawasperformedwiththeuseofSPSS15.osoftware.RESULTSAmongthe220patientswithchronichepatitisBcomplicatedwithlivercancer,thepulmonaryinfectionsoccurredin40caseswiththeinfectionrateof18.20.Totally57strainsofpathogenshavebeenisolated,con
7、sistingof16(28.07)strainsofgram—positivecocci,31(54.39)strainsofgram-negativebacilli,and10(17.54)strainsoffungi;theStreptococcuspneumoniae,StaphylococcusauFelA5,andSn^Z0f0fc“sepidermidisrankedthetopthreespeciesofthegram-positivecocci;theKlebsiellapneumoni—ae,Escherichiacoli,Pseudom
8、onasaeruginosa,andEnteroba