铜绿假单孢菌多发性肺脓肿1例并文献复习  

A case report of pseudomonas aeruginosa multiple pulmonary abscesses with literature review

作　　者：熊维宁[1] 徐永健[1] 熊盛道[1] 方慧娟[1] 曹勇[1] 张惠兰[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院呼吸内科,武汉430030

出　　处：《临床肺科杂志》2007年第10期1050-1051,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨铜绿假单孢菌多发性肺脓肿的发病特点、诊断和治疗方法。方法结合本科收治的1例铜绿假单孢菌多发性肺脓肿患者的临床资料以及相关的文献资料对该病的发病特点、诊断和治疗方法进行综合分析。结果多发性肺脓肿多为血源性肺脓肿,病原体为铜绿假单孢菌者少见,诊断时需要与金葡菌等其它病原菌导致的肺脓肿相鉴别,治疗上应用抗菌药物需针对铜绿假单孢菌,并遵循敏感、联合、足量、足程的原则。结论多发性肺脓肿需注意鉴别诊断,治疗上应给予充分的抗感染和祛痰等治疗。To explore the characteristics of development, diagnosis and treatment of pseudomonas aeruginosa multiple pulmonary abscesses. Methods One case of pseudomonas aeruginosa multiple pulmonary abscesses diagnosed in our hospital was reported. The clinical data and related literatures of the disease were collected and retrospective reviewed including the clinical characteristics of its development, diagnosis and treatment methods. Results Multiple pulmonary abscesses were in most cases hematogenous pulmonary abscesses, and it is rarely induced by pseudomonas aeruginosa. We need make the differential diagnosis of the disease from other pathogens such as staphylococcus aureus, and use the antibiotics specifically for pseudomonas aeruginosa, following the principle of being sensitive, comprehensive, adequate dosage given and having full course of the treatment. Conclusion In the diagnosis and treatment of multiple pulmonary abscesses, discreet differential diagnosis should be made and adquate treatment including antibiotics and elimination of phlegm should be properly conducted.

关 键 词：多发性肺脓肿 铜绿假单孢菌 鉴别诊断 治疗 

分 类 号：R563.2[医药卫生—呼吸系统]