目的 了解肝移植术后腹腔感染发生情况,探讨相应的护理对策.方法 对本科室170例肝移植术后患者的临床资料进行总结和分析,了解肝移植术后腹腔感染的发生情况以及病原学特点.结果 本组170例患者中38例发生腹腔感染,发生率为22.4%.38例发生肝移植术后腹腔感染患者中共检测出病原菌71株,其中单一病原菌感染21例;2种病原菌感染11例;3种及以上病原菌感染6例.屎肠球菌、鲍曼不动杆菌和溶血葡萄球菌是本组腹腔感染最主要的病原菌.37例患者治疗后好转出院,1例患者死亡.结论 通过专业的病情观察尽早的发现病情变化,并给予积极的处理,保持腹腔引流通畅、积极地调整抗菌药物、积极的预防和控制感染,规律、循序渐进的活动和营养支持等措施是预防和控制肝移植术后腹腔感染的重要环节.%Objective To investigate the incidence of abdominal infection after liver transplantation and to explore the corresponding nursing strategies. Methods Clinical data of 170 patients were analyzed to understand the incidence and pathogenic characteristics of abdominal infection after liver transplantation. Results Among 170 patients, 38 cases had abdominal infection, with the incidence of 22.4%;Totally 71 strains of pathogenic bacteria were found in 38 patients, of which 21 patients were with single bacterium, 11 with 2 kinds of bacteria and 6 with 3 or more kinds of bacteria. Enterococcus faecium, acinetobacter baumannii and staphylococcus haemolyticus were dominant ones for abdominal infection in the study. 37 patients were cured after treatment but 1 patient died. Conclusion Professional observation of the disease, active treatment to maintain abdominal drainage, adjustment of antimicrobial agents and regular activities and nutritional support are beneficial to preventing and controlling the abdominal infection after liver transplantation.
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