1例罕见烟曲霉菌多发性感染抢救成功的体会——求实和负责是关键

EXPERIENCE IN SUCCESSFUL EMERGENCY TREATMENT OF 1 CASE OF UNWONTED MULTIPLE INFECTION OF ASPERGILLUS FUMIGATUS: REALISTIC & RESPONSIBILITY IS THE KEY

1 病例简介与救治进程 患者男性,1月2日因抽搐入院.有多年饮酒史(0.5～1 kg/d),查体:皮肤黄染,总胆红素、结合胆红素显著升高,谷氨酰转移酶1000 u/L,硷性磷酸酶288 u/L,白细胞30×109/L,持续发烧,腹部及双下肢水肿明显,B超:全肝浊肿,CT:明显脑萎缩.初诊:癫痫,酒精性肝病并肝毛细胆管炎,酒精性脑损害.予以多种抗菌素(包括三代头胞和泰能)消炎,护肝利胆消肿,大量激素治疗,水肿消失,但出现严重的真菌感染.