类鼻疽肺炎29例研究报告  

STUDY ON THE 29 CASE OF MELIOIDOSIC PNEUMONIA

作　　者：陈光远[1] 曾夏杏[1] 冯欣[1] 梁陶[1] 

机构地区：[1]广东医学院附属医院

出　　处：《中国人兽共患病杂志》1999年第4期48-51,共4页Chinese Journal of Zoonoses

基　　金：广东医学科学技术研究资金

摘　　要：目的提高人们对类鼻疽肺炎严重危害健康程度和临床表现的认识、探讨早期诊断与提高治疗效果。方法对寒战发热病例进行细菌学、血清学检测和胸部Ｘ线片三种方法结合来诊断和鉴别诊断类鼻疽肺炎患者。并用分离菌的敏感药物为有效治疗观察。结果在诊断为类鼻疽肺炎的２９例中，有Ｘ线阳性征２９例。细菌学检查阳性２４例，血清学诊断５例，发病后使用有效抗菌药物治愈１２例。结论Ｘ线可早期发现肺野病变，细菌学和血清学检测可进一步确定疾病属性。对类鼻疽肺炎病人的诊断和治疗提供可靠依据。Aim To improve the understanding of damage degree of Melividosie Pneumonia to health and clinical manifestation;to improve the method of early diagnosis and the therapeutic effect. Methods The patients with chill and fever were examined by bacteriology,serology and chest Xray to diagnose and differential diagnose melioidosic pneumonia.The drug sensivity of isolated bacteria was used as observation of effective treatment. Results In the diagnosed 29 cases of melioidosic pneumonia,29 were positive in Xray;24 were positive in bacteriologic examination and 5were positive in serologic examination.12 cases were cured after treated by effective antibiotics. Conclusion Xray can detect lung lesion in early stage.However,bacteriologic and serologic examination can confirm the nature of the disease,so they can supply the reliable evidence of diagnosis and theatment for melioidosic pneumionia.

关 键 词：类鼻疽病 肺炎 血清学诊断 治疗 

分 类 号：R563.1[医药卫生—呼吸系统]