導管相關性血流感染致乳腺癌術后化療患者多器官功能障礙救治體會_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

張永利 , 鄧秋明 , 李素瑋 , 萬獻堯

Corresponding?author：

Keywords：

導管相關性血流感染; 乳腺癌; 化療; 多器官功能障礙

DOI：

DOI: 10 . 7507 /1671 -6205 . 20130124

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隨著重癥醫學的發展, 中心靜脈導管被廣泛應用于重癥患者的血流動力學監測、快速擴容、長期輸液、血液凈化及全胃腸外靜脈營養等, 但留置中心靜脈導管可致導管相關性感染, 如出口部位感染、隧道感染、皮下囊感染和導管相關性血流感染( CRBSI) [ 1] 。本院曾診治過1 例先天性左腎缺如的乳腺癌術后化療后因CRBSI 致多器官功能障礙綜合征( MODS) 患者, 病情復雜、救治難度大, 現報告如下。......

Citation： 張永利,鄧秋明,李素瑋,萬獻堯. 導管相關性血流感染致乳腺癌術后化療患者多器官功能障礙救治體會. Chinese Journal of Respiratory and Critical Care Medicine, 2013, 12(5): 516-519. doi: DOI: 10 . 7507 /1671 -6205 . 20130124 Copy

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2.	Chin BS, Han SH, Lee HS, et al. Risk factors for recurrent catheterrelated infections after catheter-related bloodstream infections. Intern J Infect Dis, 2010, 14: e16-e21.
3.	Deresinski S. Antibiotic therapy of vascular catheter-related bloodstream infections: is vancomycin the optimal choice for Staphylococcus aureus infections? Int J Antimicrob Agents,2009,34: S43-S46.
4.	Niedner MF, 2008 National Association of Children′s Hospitals and Related Institutions Pediatric Intensive Care Unit Patient Care FOCUS Group. The harder you look, the more you find: Catheterassociated bloodstream infection surveillance variability. Am J Infect Control, 2010, 38: 585-595 .
5.	Ishizuka M, Nagata H, Takagi K, et al. Dressing change reduces the central venous catheter-related bloodstream infection.Hepatogastroenterology, 2011, 58: 1882-1886.
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7.	DeLa Cruz RF, Caillouet B, Guerrero SS. Strategic patient education program to prevent catheter-related bloodstream infection. Clin J Oncol Nurs, 2012 , 16 : E12-E17.
8.	顧朝鳳, 萬獻堯. 密度感知系統與耐甲氧西林金黃色葡萄球菌感染的治療. 中國危重病急救醫學, 2012, 24 : 501-502 .

1. 中華醫學會重癥醫學分會. 血管內導管相關感染的預防與治療指南( 2007) . 中國實用外科雜志, 2008, 28: 413 -421.
2. Chin BS, Han SH, Lee HS, et al. Risk factors for recurrent catheterrelated infections after catheter-related bloodstream infections. Intern J Infect Dis, 2010, 14: e16-e21.
3. Deresinski S. Antibiotic therapy of vascular catheter-related bloodstream infections: is vancomycin the optimal choice for Staphylococcus aureus infections? Int J Antimicrob Agents,2009,34: S43-S46.
4. Niedner MF, 2008 National Association of Children′s Hospitals and Related Institutions Pediatric Intensive Care Unit Patient Care FOCUS Group. The harder you look, the more you find: Catheterassociated bloodstream infection surveillance variability. Am J Infect Control, 2010, 38: 585-595 .
5. Ishizuka M, Nagata H, Takagi K, et al. Dressing change reduces the central venous catheter-related bloodstream infection.Hepatogastroenterology, 2011, 58: 1882-1886.
6. Shapey IM, Foster MA,Whitehouse T, et al. Central venous catheterrelated bloodstream infections: improving post-insertion catheter care.J Hosp Infect, 2009, 71: 117-122 .
7. DeLa Cruz RF, Caillouet B, Guerrero SS. Strategic patient education program to prevent catheter-related bloodstream infection. Clin J Oncol Nurs, 2012 , 16 : E12-E17.
8. 顧朝鳳, 萬獻堯. 密度感知系統與耐甲氧西林金黃色葡萄球菌感染的治療. 中國危重病急救醫學, 2012, 24 : 501-502 .

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Chinese Journal of Respiratory and Critical Care Medicine

導管相關性血流感染致乳腺癌術后化療患者多器官功能障礙救治體會

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