1800例肝炎性肝病例的临床特征摘要
Yu Tian1,2, Diandian Hao1, Jialin Du1
1Department of Hepatic-Biliary-Pancreatic Medicine, the First Hospital of Jilin University, Changchun, Jilin Province.
European journal of gastroenterology & hepatology
|December 9, 2024
概括
发烧性肝 (PLA) 通常影响老年男性,通常是由Klebsiella pneumoniae引起的. 患有肝外迁移性感染 (EMI) 的患者通常呈现较年轻,预后较差,需要特别注意.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 发烧性肝 (PLA) 是一种严重的腹内感染.
- 了解其临床和微生物学特征对于有效管理至关重要.
- 肝外迁移性感染 (EMI) 是PLA的一种潜在并发症.
研究的目的:
- 总结PLA患者的临床和微生物特征.
- 为了探索PLA与EMI的临床特征和结果.
主要方法:
- 1800名PLA患者的回顾性分析 (2019年1月 - 2023年12月).
- 具有和没有EMI的患者之间的临床特征和预后的比较.
- 使用等级和千平方测试进行统计分析.
主要成果:
- 主要影响男性的PLA (65.56%),平均年龄60岁,右叶 (64.83%) 单个 (68.17%).
- 主要病原体是Klebsiella pneumoniae (68.46%),其中9.50%是多药耐药菌株.
- EMI组患者年轻,住院时间较长,腹较小,糖尿病/脑血管疾病较多,预后较差.
结论:
- 在中年/老年男性中,PLA很常见,通常与糖尿病有关,通常通过抗生素和排水来解决.
- 患有EMI的PLA患者表现出明显的临床特征,并且通常有更糟糕的结果.
- 由于预后较差,需要特别注意患有EMI的PLA患者.
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