13例植生拉乌尔菌肺炎临床特征分析

摘要/Abstract

摘要： 目的：分析植生拉乌尔菌肺炎患者的临床特征和治疗方案，提高对该病的认识。方法：收集2018年1月至2020年12月我院诊断为植生拉乌尔菌肺炎的病例，共13例，对其临床表现、实验室检查、胸部CT及治疗预后等资料进行回顾性分析。结果：13例植生拉乌尔菌肺炎病例中，男性9例，女性4例，年龄2~90岁，中位年龄61岁，9例合并基础疾病。主要临床表现为咳嗽咳痰，最常见的影像学表现为实变、磨玻璃影，部分合并胸腔积液。药敏结果提示对氨苄西林普遍耐药，对三代头孢、喹诺酮类、氨基糖苷类及碳青霉烯类抗生素敏感，抗感染治疗预后好。结论：植生拉乌尔菌肺炎患者临床表现无典型性，诊断主要依据临床标本的培养，选用敏感抗生素治疗预后较好。

关键词: font-size:medium, ">植生拉乌尔菌；肺炎；临床分析；治疗

Abstract: Objective：In order to improve the understanding and clinical treatment of Raoultella planticola pneumonia， the clinical features and therapeutic regimen of 13 patients with pneumonia caused by Raoultella planticola were analyzed. Methods： The clinical data of 13 patients with Raoultella planticola pneumonia in our hospital from January 2018 to December 2020 were collected. The clinical manifestations， laboratory test results， chest CT imaging features， antibiotic use and treatment prognosis were retrospectivly analyzed. Results：Among the 13 cases of Raoultella planticola pneumonia， there were 9 males and 4 females， aged from 2 to 90 years old(median 61 years old)， 9 cases complicated with basic diseases. The main clinical manifestations were cough and expectoration. The most common chest CT imaging features were consolidation， ground glass shadow， and some had pleural effusion. The results of drug sensitivity showed that the patients was generally resistant to ampicillin， sensitive to third generation cephalosporin， quinolone， aminoglycoside and carbapenem. All the patients had good prognosis after anti-infection treatment. Conclusion： There were no typical clinical and imaging manifestations in patients with pneumonia caused by Raoultella planticola. The diagnosis was mainly based on the culture of clinical specimens. The early diagnosis and early application of sensitive antibiotics are essential to improve the prognosis.

Key words: font-size:medium, ">Raoultella planticola； Pneumonia； Clinical analysis； Treatment

中图分类号:

李官红, 郑玉琼, 李文, 周维, 张宇, 王慧. 13例植生拉乌尔菌肺炎临床特征分析[J]. 中国医药导刊, 2022, 24(6): 598-603.

LI Guanhong, ZHENG Yuqiong, LI Wen, ZHOU Wei, ZHANG Yu, WANG Hui. Analysis of Clinical Characteristics of 13 Patients with Pneumonia Caused by Raoultella planticola[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2022, 24(6): 598-603.

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