天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (8): 814-816.doi: 10.11958/20170652

• 专题 颅脑神经创伤 • 上一篇    下一篇

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

商崇智， 涂悦， 赵明亮， 孙世中， 王慧敏， 周星， 张赛△   

  1. 天津， 武警后勤学院附属医院脑科中心 （邮编 300162）
  • 收稿日期:2017-06-09 修回日期:2017-07-07 出版日期:2017-08-15 发布日期:2017-08-15
  • 通讯作者: △通讯作者 E-mail: zhangsai718@vip.126.com E-mail:zhangsai718@yahoo.com
  • 作者简介:商崇智 （1982）， 男， 博士在读， 主治医师， 主要从事神经危重症的救治研究

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

SHANG Chong-zhi, TU Yue, ZHAO Ming-liang, SUN Shi-zhong, WANG Hui-min, ZHOU Xing, ZHAGN Sai△   

  1. The Neurology and Neurosurgery Center, the Affiliated Hospital of Logistics University of Chinese People’ s Armed Police Forces, Tianjin 300162, China
  • Received:2017-06-09 Revised:2017-07-07 Published:2017-08-15 Online:2017-08-15
  • Contact: △.Corresponding Author E-mail: zhangsai718@vip.126.com E-mail:zhangsai718@yahoo.com

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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。

关键词: 克雷伯菌, 肺炎, 颅脑损伤, 克雷伯菌感染

Abstract: Intracranial infection is a common and serious complication of acute severe traumatic brain injury, with high mortality and disability rates, which significantly affects the prognosis. In recent years, with the widespread use of antibiotics, antibiotic-resistance rates of pathogens have risen year by year, and the choice of sensitive antibiotics is less and less, sometimes even in difficulties of no drugs available. This paper reviewed the treatment process of 1 case with intracranial infection caused by multi drug-resistant Klebsiella pneumonia after severe traumatic brain injury . The aim is to summarize the clinical experience.

Key words: Klebsiella pneumonia, craniocerebral trauma, Klebsiella infections