论文部分内容阅读
目的 了解老年人肝硬化合并感染的状况和对转归的影响。方法 以 416例肝硬化患者为研究对象 ,按年龄分为老年组和非老年组 ,观察两组感染的状况。结果 感染发生率为 2 1.15 % ,医院内发生率为 9.38% ;老年组医院感染率为 13.17% ;肝硬化病死率为 15 .6 3% ,合并感染者病死率 38.6 4% ;多系统感染者病死率 5 0 .0 0 % ,老年组合并感染的病死率 5 .99%与非老年组 7.2 3%比较无显著差异 P>0 .0 5。结论 肝硬化患者尤其是老年患者易并发各种感染 ,会使病情加重 ,甚至并发感染性休克 ,且不易被纠正 ,增加合并症和病死率
Objective To understand the status of elderly patients with cirrhosis and the impact on outcome. Methods A total of 416 patients with cirrhosis were divided into the elderly group and the non-elderly group by age. The status of infection in the two groups was observed. Results The incidence of infection was 2 1.15% in the hospital and 9.38% in the hospital. The hospital infection rate in the elderly group was 13.17%. The mortality rate of cirrhosis was 15.63% and the mortality rate of those with co-infection was 38.6 4% The case fatality rate was 50.0%. There was no significant difference in mortality rate between elderly group and control group (5.99%) and non-elderly group (7.23%) (P> 0.05). Conclusions Patients with liver cirrhosis, especially elderly patients, are susceptible to various infections and may aggravate their condition even complicated by septic shock and may not be easily corrected to increase the rate of comorbidity and mortality