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1、·3534·中華醫(yī)院感染學雜志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,對發(fā)生肺部感染的相關(guān)因素進行統(tǒng)計分析,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軟件進行統(tǒng)計分析。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行個體化護理,縮短住院時間、減少氣管插
3、管等侵入性操作,做好相關(guān)病原菌檢測,并應(yīng)根據(jù)藥敏試驗的結(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;控制對策中圖分類號:R512.62文獻標識碼:A文章編號: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