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终末期肝病合并细菌、真菌感染的临床特征及其预警体系

刘海霞

中国实用内科杂志2026,Vol.46Issue(2):92-96,5.
中国实用内科杂志2026,Vol.46Issue(2):92-96,5.DOI:10.19538/j.nk2026020102

终末期肝病合并细菌、真菌感染的临床特征及其预警体系

Clinical characteristics and early warning system of end-stage liver disease complicated with bacterial and fungal infections

刘海霞1

作者信息

  • 1. 首都医科大学附属北京佑安医院重症医学科,北京 100069
  • 折叠

摘要

Abstract

The risk of bacterial and fungal infections increases in patients with end-stage liver disease,which are the most common causes of acute decompensation of liver function and mortality.Early diagnosis is crucial for promptly initiating antibiotic therapy and improving prognosis.However,Immune dysfunction which is specific to end-stage liver disease leads to occult symptoms of infection,such as leukocyte count is not high and the specificity of C-reactive protein decreases.Currently,except for spontaneous bacterial peritonitis,infections are usually diagnosed by conventional criteria,making early diagnosis challenging.The widespread use of antibiotics in the treatment and prevention of infections has led to an increased risk of drug-resistant bacteria and invasive fungal infections,as well as higher mortality rates.Therefore,based on the interaction between the progression of end-stage liver disease and infection,studying the mechanism of acute decompensation of liver function caused by infection may provide direction for early diagnosis and rational treatment.

关键词

终末期肝病/细菌感染/侵袭性真菌感染/急性失代偿

Key words

end-stage liver disease/bacterial infection/invasive fungal infection/acute decompensation

分类

医药卫生

引用本文复制引用

刘海霞..终末期肝病合并细菌、真菌感染的临床特征及其预警体系[J].中国实用内科杂志,2026,46(2):92-96,5.

基金项目

自然科学基金组团式援藏医学项目[XZ2022ZR-ZY21(Z)] (Z)

中国实用内科杂志

1005-2194

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