查詢結果分析
相關文獻
- Fungemia in Massively Burned Patients
- 透析病人的神經併發症
- Individualized Gentamicin Dosing Adjustment in Burn Patients--a Simplified and Practical Method
- 嚴重灼傷病患能量需要檢討
- Bilateral Central Retinal Artery Occlusions in a Patient with Overlap Syndrome Associated with Antiphospholipid Antibody
- The Rare Complication of Pneumatocele Formation in the Burned Patient with Inhalation Injury
- Successful Management of Massive Blood Loss to Extremely Low Hemoglobin in an Elderly Woman Receiving Spinal Surgery
- Major Burns in Pregnancy
- 糖尿病併發高血壓病人處置之新觀念
- 應用APACHE Score於加護病房護理行政業務之探討
頁籤選單縮合
題名 | Fungemia in Massively Burned Patients=嚴重灼傷病人併發黴菌血症之研究 |
---|---|
作者 | 賴瑞斌; 楊瑞永; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷期 | 3:1 1994.03[民83.03] |
頁次 | 頁12-19 |
分類號 | 416.141 |
關鍵詞 | 灼傷; 併發; 病人; 嚴重; 黴菌血症; |
語文 | 英文(English) |
中文摘要 | 在1989年1月至1992年3月間,林口長庚醫院灼傷中心共治療1322位病人。灼傷面積大於40%體表面積之嚴重灼傷共有152人。有24位嚴重灼傷病人在住院中曾有一處或一次以上之微生物培養檢查發現黴菌。其中有14位在血液中培養出黴菌,且全為念珠菌屬,平均灼傷面積為58%。有10位病人出現全身性散播之現象(明顯之敗血症感染徵候,且除血液外,另有二處培養出相同之黴菌)。經手術清創及拔除感染或不必要之周邊與中心靜脈導,尿管,和胃管等可能感染源外,並且給予Amphotericin B等抗黴菌藥物治療。其中3位因併發多器官衰竭而死亡。3位黴菌血症病人為導管引致之過性黴菌血症,於拔除導管後,並未給予抗黴菌藥物,黴菌血症即消失,亦無死亡病例。本報告中嚴重灼傷併黴菌血症患者之死亡率為21%, 較文獻報告為低,與同灼傷面積之灼傷病人死亡率亦相近。 |
英文摘要 | This is a retrospective study of fungemia in the Linkou burn center of Chang Gung Memorial Hospital. A total of fourteen cases with at least two consecutive positive blood cultures for fungus were reviewed. The rate of fungemia in massive burn patients (burn area over 40% of total body surfacearea) was 9.2% (14/152). The mortality rate was 21.4% (3/14). In order to discuss the predisposing factors, diagnosis, treatment, and mortality, these fourteen patients were divided into three groups: clinically disseminated infection, isolated fungemia, or transient catheter related fungemia according to their clinical course retrospectively. The result of this study shows: 1) the indwelling catheter is an important port of entry other than the extensive burn wound in fungemia; 2) with close monitoring and careful dosing, amphotericin B was the drug of choice to treat disseminated fungal infection; 3) the mortality rate can be decreased by aggressive early escharectomy and grafting, avoidance of invasive central line if possible, and judicious use of antibiotics and antifungal agents. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。