论文部分内容阅读
笔者于1990年遇到豚鼠气单胞肺炎1例,现报道如下。患者,男性,35岁,菜农。因发热、咳嗽、右侧胸痛、伴气促10天,加重8天而入院,既往体健。查T37.8℃,P102次/分,R25次/分,Bp16/9.3kPa。重病容,神清,自动体位,右颌下扪及蚕豆大小淋巴结,轻压痛。颈无抗感。右下肺呼吸音消失,双肺散在性湿罗音。心界不扩大,心率102次/分,律齐无杂音,心音稍低钝。肝右肋下1.5cm,剑突下5cm,质中,无触痛,脾未扪及。移动性浊音(一)。双下肢无浮肿。胸片提示:1.肺炎、2.右侧胸腔积液。痰细菌培养:“克雷伯氏菌”。入院拟诊为:1.克雷伯氏菌肺炎?2.右侧胸腔积液。入院后抽胸水进行培养,经苯唑青霉素、先锋Ⅵ号大剂量抗炎
The author encountered guinea pig gas pneumonia in 1 case in 1990, are reported below. Patient, male, 35 years old, farmer. Because of fever, cough, right chest pain, with shortness of breath promote 10 days, increased 8 days and admission, previous physical health. Check T37.8 ℃, P102 times / min, R25 beats / min, Bp16 / 9.3kPa. Seriously ill, God clear, automatic position, the right anterior palpable mass of lymph nodes, mild tenderness. No sense of anti-neck. Lower right lung breath sounds disappear, lungs scattered in the wet rales. Heart does not expand, the heart rate 102 beats / min, Law Qi no noise, heart sound lower blunt. Liver right rib 1.5cm, xiphoid 5cm, quality, no tenderness, the spleen is not palpable. Mobility voiced (a). No lower extremity edema. Chest X-ray tips: 1. Pneumonia, 2. Right pleural effusion. Sputum bacterial culture: “Klebsiella.” Admitted to hospital diagnosed as: 1. Klebsiella pneumonia? 2. Right pleural effusion. After admission, pleural effusion was cultured by oxacillin, Pioneer Ⅵ large dose of anti-inflammatory