摘要
本文对40例绿脓杆菌肺炎作了分析,全部病例均有严重原发病,主要为血液病。除2例外均有抗生素或激素治疗史,菌血症占35%。临床上以发热、咳嗽、咳痰与气急最常见,多数有二叶以上肺累及,药敏试验以多粘菌素与氨基甙类尤其丁胺卡那最敏感,病死率为55%。。血液病与菌血症及其休克是影响预后的主要因素。并对其诊断、防治及预后因素作了讨论。
40 patients with pseudomonas aeruginosa pneumonia were analyzed. All of them had severe underlying diseases, most were leukemia. All but two cases had been treated with antibiotics and steroid. Bacteremia occurred in 35%.The common symptoms included fever,productive cough and dyspnea. Chest X-ray examination revealed lung involvement over two lobes in most of the patients. The antibiotic susceptibility test showed that polymyxin and aminoglycosides particularly amikacin were most usceptible. The mortality rate was 55%.Primary factors that affected prognosis were leukemia, becteremia and shock. In this article,the diagnosis, prevention, treatment and prognosis of pseudomonas aerugiosa pneumonia were also discussed.
