导管相关性血流感染致乳腺癌术后化疗患者多器官功能障碍救治体会_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

张永利 , 邓秋明 , 李素玮 , 万献尧

Corresponding author：

Keywords：

导管相关性血流感染; 乳腺癌; 化疗; 多器官功能障碍

DOI：

DOI: 10 . 7507 /1671 -6205 . 20130124

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随着重症医学的发展, 中心静脉导管被广泛应用于重症患者的血流动力学监测、快速扩容、长期输液、血液净化及全胃肠外静脉营养等, 但留置中心静脉导管可致导管相关性感染, 如出口部位感染、隧道感染、皮下囊感染和导管相关性血流感染( CRBSI) [ 1] 。本院曾诊治过1 例先天性左肾缺如的乳腺癌术后化疗后因CRBSI 致多器官功能障碍综合征( MODS) 患者, 病情复杂、救治难度大, 现报告如下。......

Citation： 张永利,邓秋明,李素玮,万献尧. 导管相关性血流感染致乳腺癌术后化疗患者多器官功能障碍救治体会. Chinese Journal of Respiratory and Critical Care Medicine, 2013, 12(5): 516-519. doi: DOI: 10 . 7507 /1671 -6205 . 20130124 Copy

1.	中华医学会重症医学分会. 血管内导管相关感染的预防与治疗指南( 2007) . 中国实用外科杂志, 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.	顾朝凤, 万献尧. 密度感知系统与耐甲氧西林金黄色葡萄球菌感染的治疗. 中国危重病急救医学, 2012, 24 : 501-502 .

1. 中华医学会重症医学分会. 血管内导管相关感染的预防与治疗指南( 2007) . 中国实用外科杂志, 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. 顾朝凤, 万献尧. 密度感知系统与耐甲氧西林金黄色葡萄球菌感染的治疗. 中国危重病急救医学, 2012, 24 : 501-502 .

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Chinese Journal of Respiratory and Critical Care Medicine

导管相关性血流感染致乳腺癌术后化疗患者多器官功能障碍救治体会

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