临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2009年
8期
1025-1026
,共2页
鲍曼不动杆菌%肺部感染%分析
鮑曼不動桿菌%肺部感染%分析
포만불동간균%폐부감염%분석
acinetobacter baumannii%pulmonary infection%analysis
目的 了解老年鲍曼不动杆菌肺部感染的临床特点.方法 分析228例老年鲍曼不动杆菌肺部感染患者的症状、体征、肺部影像学改变、细菌耐药现状及治疗转归等.结果 老年鲍曼不动杆菌肺部感染多于基础疾病的危重期起病.临床症状和体征缺乏特征性.肺部X线影像学变化以小片状浸润影多见(占84.2%).鲍曼不动杆菌对常用抗生素的耐药率为5.2%～86.3%.患者住院病死率为19.7%.结论 临床上应重视鲍曼不动杆菌所引起的老年肺部感染.
目的 瞭解老年鮑曼不動桿菌肺部感染的臨床特點.方法 分析228例老年鮑曼不動桿菌肺部感染患者的癥狀、體徵、肺部影像學改變、細菌耐藥現狀及治療轉歸等.結果 老年鮑曼不動桿菌肺部感染多于基礎疾病的危重期起病.臨床癥狀和體徵缺乏特徵性.肺部X線影像學變化以小片狀浸潤影多見(佔84.2%).鮑曼不動桿菌對常用抗生素的耐藥率為5.2%～86.3%.患者住院病死率為19.7%.結論 臨床上應重視鮑曼不動桿菌所引起的老年肺部感染.
목적 료해노년포만불동간균폐부감염적림상특점.방법 분석228례노년포만불동간균폐부감염환자적증상、체정、폐부영상학개변、세균내약현상급치료전귀등.결과 노년포만불동간균폐부감염다우기출질병적위중기기병.림상증상화체정결핍특정성.폐부X선영상학변화이소편상침윤영다견(점84.2%).포만불동간균대상용항생소적내약솔위5.2%～86.3%.환자주원병사솔위19.7%.결론 림상상응중시포만불동간균소인기적노년폐부감염.
Objective To investigate the clinical characteristics of pulmonary infection caused by acinetobacter baumannii. Methods The data of 228 old patients with pulmonary infection due to acinetobacter baumannii were reviewed. The symptoms, physical signs, X-ray imaging of chest and sputum culture and drug sensitivity test and the effect of the treatment were studied. Results Pulmonary infection caused by acinetobacter baumarmii in the old patients were mostly seen at critical stage of the basic disease. There were nonspecific symptoms and physical signs. Most X-ray imaging of chest showed small opacity(84.2%). The acinetobacter strains were identified through sputum culture to be resistant to antibiotics, and the drug resistance rate were ranging from 5.2% to 86.3%. The case fatality rate was 19.7%. Conclusion Pulmonary infection caused by acinetobacter baumannii in the old patients must be taken into account.
