摘要
血源性金黄色葡萄球菌(金葡菌)肺炎的临床特点为高热、咳嗽、胸痛等,肺部CT特点是炎症浸润、实变、气囊、肺脓肿等多种征象并存,且变化迅速.重症患者易并发呼吸衰竭(呼衰)及脓毒性休克,治疗难度较大且疗程往往较长.及时诊断、使用敏感抗菌药物并积极呼吸支持、营养支持等综合治疗是提高重度血源性金葡菌肺炎救治成功率的有效手段.
The clinical characteristics of the pneumonia includes hyperthermia,cough and pectoralgia,etc with simultaneous mixed signs of inflammatory infiltration,consolidation,cavity/air sac and abscess in pulmonary CT scan,and these signs change rapidly.Respiratory failure and septic shock frequently occur in severe such patients,resulting in refractory management and relatively long therapeutic course.The timely diagnosis,use of sensitive antibiotics,respiratory and nutritional support,etc comprehensive effective measures can elevate the rescue success rate with severe hematogenous staphylococcus aureus pneumonia.
作者
韦波
吴云
沈锋
张可佳
段庆红
田绍昆
李叶红
刘秘言
杨昌艳
李又一
Wei Bo;Wu Yun;Shen Feng;Zhang Kejia;Duan Qinghong;Tian Shaokun;Li Yehong;Liu Miyan;Yang Changyan;Li Youyi(Department of Critical Care Medicine,the Third.Affiliated Hospital of Guizhou Medical University,Duyun 558000,Guizhou,China;Department of Critical Care Medicine,the Affiliated Hospital of Guizhou Medical University,Guiyang 550004,Guizhou,China;Department of Radiology,the Affiliated Hospital of Guizhou Medical University,Guiyang 550004,Guizhou,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2019年第4期496-498,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
贵州省科技计划项目(黔科合基础〔2019〕1261)
贵州省教育厅创新群体重大研究项目(黔教合ky字〔2016〕034)
贵州省科技支撑计划项目(黔科合支撑〔2017〕2876).
关键词
金黄色葡萄球菌
肺炎
血源性
Staphylococcus aureus
Pneumonia
Hematogenous
