摘要
目的探讨糖尿病合并系统性肺炎克雷伯杆菌感染的诊断及治疗。方法通过对3份病例进行回顾性分析。结果其中2例肝脓肿患者经脓肿穿刺引流临床效果良好。1例眼内炎患者经左眼玻璃体切除、激光、硅油填充术治疗效果可。结论肺炎克雷伯杆菌引起肺脓肿、肝脓肿、眼内炎,起病急骤,进展迅速,预后差,病死率高,但临床表现并不典型.临床医生需提高重视,尤其对患有糖尿病的患者更应提高警惕。
Objective To explore the diabetic systematic diagnosis and treatment of pneumonia Klebsiella bacillus infection. Methods based on the three cases were retrospectively analyzed. Results 2 cases with liver abscess underwent abscess puncture drainage, the clinical effect was good. 1 case with endophthalmitis underwent the left ophthalmic resection, laser, silicone oil filling the effect was good. Conclusions the klebsiella pneumoniae may cause lung abscess, liver abscess, endophthalmitis, which are suddenly onset, rapidly progress, poorly prognosis, highly fatality rates, The performance is not a typical in clinical. Therefore, the clinicians should pay attention to them, especially for patients with diabetes.
出处
《国际呼吸杂志》
2017年第13期985-989,共5页
International Journal of Respiration
关键词
肺炎克雷伯杆菌
糖尿病
肝脓肿
肺脓肿
眼内炎
Klebsiella pneumoniae
Diabetes
Liver abscess
Lung abscess
Endophthalmitis