35例不典型肺炎克雷白杆菌肺炎的临床分析  

CLINICAL ANALYSIS ON 35 CASES WITH KLEBSIELLA PNEUMONIA

作　　者：王昌年 刘翠英[2] 徐玲 

机构地区：[1]南充市人民医院 [2]重庆医科大学附一院

出　　处：《川北医学院学报》1992年第4期60-62,73,共4页Journal of North Sichuan Medical College

摘　　要：本文分析35例不典型克雷白杆菌肺炎。根据本组临床资料和文献报道,本组病例无典型的肺炎克雷白杆菌肺炎表现,其特点如下:1.男性患者明显多于女性,男女之比为6:1。2.发病绝大多数为中老年患者。3.文献曾指出原发病以白血病多见,但本组原发病以肺心病为多,占43%,而无1例白血病。4.文献指出大多数病例痰呈粘稠棕红胶冻状,但本组病例68.9%为白粘痰或脓痰,无1例棕红粘稠冻胶痰。5.文献曾指出 X 线所见病灶以右上叶多见,常使叶间隙下坠,而本组46.4%为多肺野受累,右上叶病变仅3例,占8.6%,且无1例叶间隙下坠。6.本组药物敏感试验以新霉素、丁胺卡那霉素、多粘菌素及庆大霉素最敏感。7.本组病死率为25.7%。Thirty-five cases of atypical Klebsiella pneumonia were analysed in this paper.The primary disease was chronic cor pulmonale nearly half,but not one leukemia.there were 30 males and 5 females,age of patients ranged from 29 to 77, the mean age of patients was 58.3 years.There were 32 cases of severe nuderlying disease.The chief symptom were cough and fever.The antimicrobial susceptibility tests showed that neomycin,amikacin,polymyxin and gentamicin were very susceptible.The mortality rate was 25.7%.

关 键 词：肺炎克雷白杆菌肺炎 肺心病 氨基甙类抗生素 

分 类 号：R[医药卫生]