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| 題 名 | 外科病人手術後念珠菌感染--23例病例分析 |
|---|---|
| 作 者 | 王輝明; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 21:2 1988.03[民77.03] |
| 頁 次 | 頁115-120 |
| 分類號 | 416.15 |
| 關鍵詞 | 外科病人手術; 念珠菌感染; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 在外科重症病人中,常因長期使用廣效性抗生素與病人本身免疫力降低而發生念珠菌感染,尤其以接受腹部手術發生術後併發症的病人更容易發生。榮民總醫院台中分院從1983年5月至1986年8月,共經歷23例外科病人術後發生念球菌感染。男性17例,女性6例。年餘從21歲至73歲,平均55歲。在預後與臨床表現上,腹部手術者18例與非腹部手術者5例有很大差別。前者都有嚴重術後併發症,如吻合處滲漏,腹內膿瘍。復部手術者18例中有8例血液念球茵培養陽性,其中有6例接受靜脈注射amphotericin-B治療後,結果有4例痊癒,2例死亡,沒有接受amphotericin- B治療的12例有5例死亡。非腹部手術者5例中,沒有一例血液培養陽性,沒有一例死亡。總共有7例死亡,都是接受腹部手術,佔全部品例的30.4%,佔腹部手術病例的38.9%。早期的診斷與治療對於減低死亡率很重要。 |
| 英文摘要 | There were 23 chronically-ill surgical patients complicated with candida infections in VGH-Taichung from May 1983, to Aug. 1986. All of the patients had several compromising conditions, such as sepsis, malignancy, and DM etc. The long term use of antibiotics is the main predisposing factor of candida infection. The clinical manifestation and prognosis are different between patients who received abdominal surgery and patients who received non-abdominal surgery. The over all mortality rate was 30.4% (7/23), and all mortality occurred in patients who received abdominal surgery. Intravenous amphotericin - B was given in six patients with positive blood culture of candida. Four patients given a complete dose were all alive, but two patients treated with incomplete dosage all expired. Early diagnosis and treatment are important for control of candida infections. |
本系統中英文摘要資訊取自各篇刊載內容。