BACKGROUND Elizabethkingia miricola is a non-fermenting gram-negative bacterium,which was first isolated from the condensate of the Russian peace space station in 2003.Most studies on this bacterium have been carried ...BACKGROUND Elizabethkingia miricola is a non-fermenting gram-negative bacterium,which was first isolated from the condensate of the Russian peace space station in 2003.Most studies on this bacterium have been carried out in the laboratory,and clinical case studies are rare.To date,a total of 6 clinical cases have been reported worldwide.CASE SUMMARY We present the first case of postoperative pulmonary infection in a patient with intracerebral hemorrhage due to Elizabethkingia miricola.The imaging character-istics of pulmonary infection were identified and the formulation and selection of the clinical treatment plan for this patient are discussed.CONCLUSION Elizabethkingia miricola infection is rare.When pulmonary infection occurs,computed tomography imaging may show diffuse distribution of a ground glass density shadow in both lungs,the air containing bronchial sign in local areas,thickening of bronchial vascular bundle,and pleural effusion.展开更多
目的:探讨心率变异性(heart rate variability,HRV)与高血压脑出血(hypertensive cerebral hemorrhage,HICH)患者气管切开后并发肺部感染的关系,为临床诊疗提供参考。方法:回顾性分析2018年2月至2022年12月医院收治的101例行气管切开术...目的:探讨心率变异性(heart rate variability,HRV)与高血压脑出血(hypertensive cerebral hemorrhage,HICH)患者气管切开后并发肺部感染的关系,为临床诊疗提供参考。方法:回顾性分析2018年2月至2022年12月医院收治的101例行气管切开术的HICH患者临床资料。根据并发肺部感染情况分为感染组和非感染组。比较2组一般资料、炎症标志物与HRV指标情况。采用Pearson相关性分析HRV与HICH患者气管切开后并发肺部感染的关系。结果:101例HICH患者气管切开后7 d内并发肺部感染54例,占53.5%。2组术前格拉斯哥昏迷评分(Glasgow coma score,GCS)比较,差异有统计学意义(P<0.05)。感染组白介素-6(interleukin 6,IL-6)、C反应蛋白(Creactive protein,CRP)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、降钙素原(procalcitonin,PCT)均高于未感染组,24 h全部窦性心搏RR间期标准差(standard deviation of normal to normal interval,SDNN)、24 h平均SDNN(standard deviation of average normal to normal interval,SDANN)、24 h相邻RR间期差值均方根(root mean square of successive differences in adjacent RR interval,RMSSD)、相邻RR间期差值>50 ms的心搏数占总RR间期个数百分比(percentage of adjacent normal to normal intervals differing by more than 50 ms,PNN50)、高频功率(high frequency power,HF)、低频功率(low frequency power,LF)均低于未感染组(P<0.05);Pearson相关性检验示,HRV各指标与IL-6、CRP、TNF-α、PCT均呈负相关(均P<0.05)。结论:HICH患者HRV与气管切开后并发肺部感染有关,SDNN、SDANN、RMSSD、PNN50、HF、LF降低提示肺部感染风险增加。展开更多
目的:观察危机管理结合振动排痰对自发性脑出血(Spontaneous intracerebral hemorrhage,SICH)患者术后肺部感染的影响。方法:选取2020年3月至2022年3月于我院治疗的180例SICH患者作为研究对象,其中,2021年3月之前采用常规护理联合振动...目的:观察危机管理结合振动排痰对自发性脑出血(Spontaneous intracerebral hemorrhage,SICH)患者术后肺部感染的影响。方法:选取2020年3月至2022年3月于我院治疗的180例SICH患者作为研究对象,其中,2021年3月之前采用常规护理联合振动排痰干预的90例患者作为对照组,2021年3月之前采用危机管理联合振动排痰干预的90例患者作为观察组。分析对比两组患者的恢复情况、不良反应发生情况及干预满意度。根据是否出现肺部感染,将患者分为感染组和非感染组,收集相关临床资料,分析肺部感染的危险因素。结果:观察组肺部感染发生率低于对照组,住院时间短于对照组(P<0.05);观察组导管堵塞发生率低于对照组(P<0.05);观察组患者满意度明显高于对照组(P<0.05);两组性别、年龄、出血量、手术时间均无明显差异(P>0.05)。感染组糖尿病史、吸烟史、既往肺部疾病病史、术后机械通气时间、术后卒中量表评分(National institutes of health stroke scale,NIHSS)>15分、术后GCS<8分病例占比均明显高于非感染组(P<0.05),危机管理使用率明显低于非感染组(P<0.05)。结论:采用危机管理联合振动排痰干预SICH术后患者能够促进恢复,降低肺部感染发生率,缩短住院时间,减少不良反应,提高患者满意度。展开更多
文摘BACKGROUND Elizabethkingia miricola is a non-fermenting gram-negative bacterium,which was first isolated from the condensate of the Russian peace space station in 2003.Most studies on this bacterium have been carried out in the laboratory,and clinical case studies are rare.To date,a total of 6 clinical cases have been reported worldwide.CASE SUMMARY We present the first case of postoperative pulmonary infection in a patient with intracerebral hemorrhage due to Elizabethkingia miricola.The imaging character-istics of pulmonary infection were identified and the formulation and selection of the clinical treatment plan for this patient are discussed.CONCLUSION Elizabethkingia miricola infection is rare.When pulmonary infection occurs,computed tomography imaging may show diffuse distribution of a ground glass density shadow in both lungs,the air containing bronchial sign in local areas,thickening of bronchial vascular bundle,and pleural effusion.
文摘目的:探讨心率变异性(heart rate variability,HRV)与高血压脑出血(hypertensive cerebral hemorrhage,HICH)患者气管切开后并发肺部感染的关系,为临床诊疗提供参考。方法:回顾性分析2018年2月至2022年12月医院收治的101例行气管切开术的HICH患者临床资料。根据并发肺部感染情况分为感染组和非感染组。比较2组一般资料、炎症标志物与HRV指标情况。采用Pearson相关性分析HRV与HICH患者气管切开后并发肺部感染的关系。结果:101例HICH患者气管切开后7 d内并发肺部感染54例,占53.5%。2组术前格拉斯哥昏迷评分(Glasgow coma score,GCS)比较,差异有统计学意义(P<0.05)。感染组白介素-6(interleukin 6,IL-6)、C反应蛋白(Creactive protein,CRP)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、降钙素原(procalcitonin,PCT)均高于未感染组,24 h全部窦性心搏RR间期标准差(standard deviation of normal to normal interval,SDNN)、24 h平均SDNN(standard deviation of average normal to normal interval,SDANN)、24 h相邻RR间期差值均方根(root mean square of successive differences in adjacent RR interval,RMSSD)、相邻RR间期差值>50 ms的心搏数占总RR间期个数百分比(percentage of adjacent normal to normal intervals differing by more than 50 ms,PNN50)、高频功率(high frequency power,HF)、低频功率(low frequency power,LF)均低于未感染组(P<0.05);Pearson相关性检验示,HRV各指标与IL-6、CRP、TNF-α、PCT均呈负相关(均P<0.05)。结论:HICH患者HRV与气管切开后并发肺部感染有关,SDNN、SDANN、RMSSD、PNN50、HF、LF降低提示肺部感染风险增加。
文摘目的:观察危机管理结合振动排痰对自发性脑出血(Spontaneous intracerebral hemorrhage,SICH)患者术后肺部感染的影响。方法:选取2020年3月至2022年3月于我院治疗的180例SICH患者作为研究对象,其中,2021年3月之前采用常规护理联合振动排痰干预的90例患者作为对照组,2021年3月之前采用危机管理联合振动排痰干预的90例患者作为观察组。分析对比两组患者的恢复情况、不良反应发生情况及干预满意度。根据是否出现肺部感染,将患者分为感染组和非感染组,收集相关临床资料,分析肺部感染的危险因素。结果:观察组肺部感染发生率低于对照组,住院时间短于对照组(P<0.05);观察组导管堵塞发生率低于对照组(P<0.05);观察组患者满意度明显高于对照组(P<0.05);两组性别、年龄、出血量、手术时间均无明显差异(P>0.05)。感染组糖尿病史、吸烟史、既往肺部疾病病史、术后机械通气时间、术后卒中量表评分(National institutes of health stroke scale,NIHSS)>15分、术后GCS<8分病例占比均明显高于非感染组(P<0.05),危机管理使用率明显低于非感染组(P<0.05)。结论:采用危机管理联合振动排痰干预SICH术后患者能够促进恢复,降低肺部感染发生率,缩短住院时间,减少不良反应,提高患者满意度。
