【摘要】：目的探討急性胰腺炎患者腹腔感染的危險因素和病原學(xué)特征,為臨床防治腹腔感染提供依據(jù)。方法回顧性分析醫(yī)院2011年1月-2016年6月收治急性胰腺炎患者187例,分析不同臨床特征的急性胰腺炎患者腹腔感染風(fēng)險及危險因素和主要病原菌。結(jié)果不同病因的急性胰腺炎患者腹腔感染風(fēng)險不同(P0.05);入院時SOFA評分≥2分、APACHEⅡ評分≥8分、Ranson評分≥3分、CTSI評分≥4分、臟器功能損傷和休克的急性胰腺炎患者腹腔感染率顯著升高(P0.05);多因素回歸分析顯示,Ranson評分≥3分、CTSI評分≥4分、休克和臟器功能損傷是急性胰腺炎患者腹腔感染的危險因素(P0.05);18例腹腔感染的患者共培養(yǎng)出病原菌32株,其中革蘭陰性菌18株占56.25%,革蘭陽性菌14株占43.75%,最常見的革蘭陰性菌是銅綠假單胞菌,最常見的革蘭陽性菌是金黃色葡萄球菌。結(jié)論 Ranson評分≥3分、CTSI評分≥4分、休克和臟器功能損傷是急性胰腺炎患者腹腔感染的危險因素,感染以革蘭陰性菌為主。
[Abstract]:Objective to investigate the risk factors and etiological characteristics of abdominal infection in patients with acute pancreatitis, and to provide evidence for clinical prevention and treatment of abdominal infection. Methods 187 patients with acute pancreatitis from January 2011 to June 2016 were analyzed retrospectively. the risk, risk factors and main pathogenic bacteria of abdominal infection in patients with acute pancreatitis with different clinical characteristics were analyzed. Results the risk of abdominal infection in patients with acute pancreatitis with different causes was different (P 0.05), SOFA score 鈮，

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