重型肝炎合并感染临床特点分析

余卫华            万建新 2005-12-13 13:19:18 中华中西医杂志 2004年6月第5卷第12期

 【摘要】 目的 探讨感染对重型肝炎预后的影响。方法 对近两年收治的重型肝炎进行回顾性调查分析。结果 本组病例感染总发生率71.6%，院内感染率71.1%，总病死率48.6%，感染组病死率67.9%，非感染组病死率26.9%（P<0.01）。结论 感染是重型肝炎最常见并发症之一，感染组病死率明显高于非感染组，积极预防治疗感染是降低重型肝炎死亡率的重要环节。

关键词 重型肝炎 感染

Clinical characteristics of patinets with severe viral hepatitis and infection

Yu Weihua，Wan Jianxin

The Eighth People’s Hospital of Guangzhou，Guangdong510061.

【Abstract】 Objective To study the effect of infection on the prognosis in patients with severe viral hepatitis（SVH）.Methods 185hospitalized cases of SVH were investigated and analyzed restrospectively during recent two years.Results The rate of infection was71.6%of all cases，and the rate of nosocomial infection was71.3%.The mortality of all cases was48.6%，in the infective group was67.9%，and in the non-infective group was26.9%（P<0.01）.Conclusion Infection is oneof common complications in patients with SVH，the mortality in the infective group is more higher than in non-infective group.To prevent and treat infections actively is pivotal for reducing the mortality in patients with SVH.

Key words severe hepatitis infection

继发感染是重型肝炎患者死亡的重要因素之一。重视感染已成为进一步提高重型肝炎患者生存率的重要目标和突破口 ^［1］ ，为探讨医院感染对重型肝炎预后的影响，现对我院近3年收治的183例重型肝炎病例进行回顾性调查分析。