| 尚新志,尚若愚,胡东升,姚永明,林国安.重度烧伤合并急性肾衰引发肺部真菌感染1例报告[J].中国烧伤创疡杂志,2017,(1):24~26. |
| DOI： |
| 中文关键词: 中西医结合 重度烧伤 急性肾衰 肺部真菌感染 病例报告 |
| 英文关键词:Integrative medicine Severe burns Acute renal failure Pulmonary fungal infection Case report |
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| 中文摘要: |
| 1例重度烧伤合并急性肾衰患者在采用抗休克? 抗感染? 营养支持? 连续血液净化? 口服中药及 创面处理等治疗14d后, 胸部CT检查显示有胸腔积液, 未予特殊处理; 治疗16d, 患者出现呼吸困难, 予以面 罩吸氧等治疗后症状缓解; 治疗24d, 患者再次出现呼吸困难, 给予加大吸氧流量后症状未见缓解, 遂予以氟康 唑注射液100mL, 每日2次静脉滴注; 治疗26d, 患者呼吸困难等症状未见好转, 专家会诊, 确诊为肺部真菌感 染, 建议给予大扶康治疗? 大扶康治疗2d, 患者呼吸困难等症状明显缓解, 肺部感染得到控制? |
| 英文摘要: |
| 【Abstract】After 14 days of treatments including anti-shock, anti-infection, nutrition support, continuous blood purification and oral administration of Chinese herbs as well as wound management, chest CT showed pleural effusion in the severely-burned patient complicated with acute renal failure and no specific treatment was given; on day 16, the patient suffered dyspnea, for which oxygen was provided; on day 24, 100ml Fluconazole Injection was given intravenously twice daily because the symptoms such as dyspnea didn’t improve; on day 26, an expert consultation made the diagnosis of pulmonary fungal infection and Diflucan treatment was suggested. On day 2 of the Diflucan treatment, the dyspnea obviously improved and the pulmonary infection was controlled. |
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