急诊抢救室呼衰病人病原学及耐药性分析  

Pathogens and drug-resistance analysisamong patients with respiratory failure in emergency rescue room

作　　者：毕俏杰[1] 

机构地区：[1]青岛市立医院东院急诊室,山东青岛266071

出　　处：《临床肺科杂志》2010年第1期41-42,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析因肺部感染导致呼吸衰竭入急诊抢救室的病人的病原学特征及耐药情况。指导急诊用药。方法收集101例因肺部感染致呼衰收入急诊抢救室行气管插管的病人下呼吸道痰液标本,进行培养及药学试验。结果101例病人中分离出185株细菌,其中革兰氏阴性杆菌121株,主要为大肠埃希菌,肺炎克雷白杆菌,不动杆菌,铜绿假单胞菌,对三代头孢和喹喏酮类有较高耐药率;革兰氏阳性菌28株,主要为金黄色葡萄球菌,表皮葡萄球菌,肺炎链球菌及肠球菌;真菌36株。结论对急诊室接诊因肺部感染导致呼衰的病人,应选用强有力的抗生素尽快控制感染.。同时要重视这类病人常合并真菌感染可能,应及时检查。Objective To analyze the pathogens and drug-resistance among patients with respiratory failure due to pulmonary infection in emergency rescue room, so as to guide clinical rational administration. Methods The specimen of sputum was tested by culture to inspect pathogens and then judge drug sensitivity. Results 185 strains had been examined including 121 Gram-negative bacilli （65.4%） and 28 Gram-positive cocci（ 15.1% ） and 36 strains of fungi（ 19.4% ）. The most important gram-negative bacilli were escherich- ia coli, klebsiella pneumoniae, and pseudomonas aeruginosa. They had a high resistance rate to the third-generation cephalosporin and quin- olones antibiotics. The fungal infection rate showed an increasing tendency. Conclusion Gram-negative bacilli is the major pathogens isolated from respiratory failure patients with pulmonary infection in emergency rescue room. It has markedly resistance to common antibiotics. So we should use powerful antibiotics to control the infection as soon as possible. Respiratory tract fungal infection has become an inevitable problem.

关 键 词：急诊抢救室 肺部感染 呼衰 病原学 耐药性 

分 类 号：R563.8[医药卫生—呼吸系统] R446.5[医药卫生—内科学]