一例多重耐药肺炎克雷伯菌致重型颅脑创伤术后颅内感染的救治体会  

Treatment experience of intracranial infection after severe traumatic brain injury caused by multi drug-resistant Klebsiella pneumonia: a case report

作　　者：商崇智[1] 涂悦[1] 赵明亮[1] 孙世中[1] 王慧敏[1] 周星[1] 张赛[1] SHANG Chong-zhi;TU Yue;ZHAO Ming-liang;SUN Shi-zhong;WANG Hui-min;ZHOU Xing;ZHAGN Sai(The Neurology and Neurosurgery Center, the Affiliated Hospital of Logistics University of Chinese People’s Armed Police Forces, Tianjin 300162, China)

机构地区：[1]武警后勤学院附属医院脑科中心,天津300162

出　　处：《天津医药》2017年第8期814-816,共3页Tianjin Medical Journal

摘　　要：颅内感染是急性重型颅脑创伤的常见严重并发症,致死、致残率高,显著影响预后。近年来,随着抗生素的广泛使用,病原菌的耐药率逐年上升,可供选择的敏感抗生素越来越少,有时甚至陷入无药可用的困境。本文回顾了1例多重耐药肺炎克雷伯菌致重型颅脑创伤术后颅内感染患者的救治经过,旨在总结临床经验。Intracranial infection is a common and serious complication of acute severe traumatic brain injury,with highmortality and disability rates,which significantly affects the prognosis.In recent years,with the widespread use ofantibiotics,antibiotic-resistance rates of pathogens have risen year by year,and the choice of sensitive antibiotics is less andless,sometimes even in difficulties of no drugs available.This paper reviewed the treatment process of1case withintracranial infection caused by multi drug-resistant Klebsiella pneumonia after severe traumatic brain injury.The aim is tosummarize the clinical experience.

关 键 词：克雷伯菌 肺炎 颅脑损伤 克雷伯菌感染 

分 类 号：R651.11[医药卫生—外科学] R639[医药卫生—临床医学]