CAJ | 학술논문

目的：通过对1例由社区获得性耐甲氧西林金黄色葡萄球菌（CA-MRSA）感染引起的急性化脓性骨髓炎病例的分析，增强对急性化脓性骨髓炎及CA-MRSA感染的认识。方法对宁夏医科大学总医院心脑血管病医院ICU收治的1例CA-MRSA感染导致的急性化脓性骨髓炎病例的临床资料进行回顾性分析，总结其治疗前后临床症状、实验室检查、影像学检查的变化，提高其诊断和治疗效果。结果患者出现了高热、血行感染、脓胸等典型的CA-MRSA感染的临床表现，在接受了替考拉宁、利奈唑胺等药物治疗的同时，联合胸腔穿刺引流及骨髓钻孔开窗对流冲洗术，其诊断明确，治疗效果显著。结论临床医师应该提高对社区获得性耐甲氧西林金黄色葡萄球菌感染引起的急性化脓性骨髓炎的认识，早期、正确诊断，并予以正确的抗感染治疗，提高患者的治愈率。
목적：통과대1례유사구획득성내갑양서림금황색포도구균（CA-MRSA）감염인기적급성화농성골수염병례적분석，증강대급성화농성골수염급CA-MRSA감염적인식。방법대저하의과대학총의원심뇌혈관병의원ICU수치적1례CA-MRSA감염도치적급성화농성골수염병례적림상자료진행회고성분석，총결기치료전후림상증상、실험실검사、영상학검사적변화，제고기진단화치료효과。결과환자출현료고열、혈행감염、농흉등전형적CA-MRSA감염적림상표현，재접수료체고랍저、리내서알등약물치료적동시，연합흉강천자인류급골수찬공개창대류충세술，기진단명학，치료효과현저。결론림상의사응해제고대사구획득성내갑양서림금황색포도구균감염인기적급성화농성골수염적인식，조기、정학진단，병여이정학적항감염치료，제고환자적치유솔。
Objective To strengthen cognition of acute suppurative osteomyelitis and CA-MRSA infection by analyzing the case of 1 patient with acute suppurative osteomyelitis caused by community-acquired methicillin-resistant staphylococcus aureus CA-MRSA infection. Methods To conduct retrospective analysis of clinical data of 1 patient with acute suppurative osteomyelitis caused by community-acquired methicillin-resistant staphylococcus aureus CA-MRSA infection treated in ICU of Cardiovascular Diseases Hospital of General Hospital of Ningxia Medical University. To summarize changes of clinical symptoms before and after treatment, lab test and iconography test so as to improve diagnosis and treatment effect. Results Clinical manifestations of typical CA-MRSA infection like high fever, blood line infection and empyema etc appears in the patient. The patient accept drug therapy including teicoplanin and linezolid, combined with drainage by thoracocentesis, marrow drilling convection lfushing technique, leading to clear diagnosis and signiifcant treatment effect. Conclusion Clinicians should raise awareness of acute suppurative osteomyelitis caused by community-acquired methicillin-resistant staphylococcus aureus, with early accurate diagnosis and correct anti-infective therapy to increase patients’cure rate.