天津医药

天津医药 ›› 2020, Vol. 48 ›› Issue (4): 302-305.doi: 10.11958/20192435

• 临床研究 • 上一篇    下一篇

甲型流感合并耐甲氧西林金黄色葡萄球菌脓毒症一例 #br#

王丽靖，王晓敏
  

  1. 天津市儿童医院重症医学科（邮编300134）
  • 收稿日期:2019-08-13 修回日期:2019-12-11 出版日期:2020-04-15 发布日期:2020-06-23
  • 作者简介:王丽靖（1981），女，硕士在读，主治医师，主要从事儿科危重急症的基础与临床研究

A case report of influenza A combined with methicillin-resistant staphylococcus aureus sepsis #br#

WANG Li-jing, WANG Xiao-min #br#   

  1. Department of PICU, Tianjin Children’s Hospital, Tianjin 300134, China
  • Received:2019-08-13 Revised:2019-12-11 Published:2020-04-15 Online:2020-06-23

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摘要： 甲型流感病毒与其他细菌共感染是造成甲型流感高致病性与高死亡率的主要原因之一，与其共感染的常
见菌属为金黄色葡萄球菌、肺炎链球菌等。临床医生对此易认识不足，延误诊治。本文回顾性分析我院收治的1例8
岁女童患危重症流感合并耐甲氧西林金黄色葡萄球菌（MRSA）脓毒症的发病特点、临床表现、治疗及转归，从而提高
对儿童重症流感合并细菌感染的认识，以利于早期识别和提高救治成功率。

关键词: 耐甲氧西林金黄色葡萄球菌, 脓毒症, 流感病毒A型, 呼吸功能不全, 儿童

Abstract: Co-infection of influenza A virus and other bacteria is one of the main causes of high pathogenicity and
mortality of influenza A. The common bacterial species co-infected with influenza A are staphylococcus aureus,
streptococcus pneumoniae and other bacteria. Clinicians are not well aware of it and are prone to misdiagnosis and wrong
treatment. This paper retrospectively analyzed the pathogenic characteristics, clinical manifestations, treatment and outcome of severe influenza with methicillin-resistant staphylococcus aureus (MRSA) sepsis in an 8-year-old girl hospitalized in our hospital, so as to improve the understanding of the disease. The recognition of severe influenza in children with bacteria infection is beneficial to early identification and improving the success rate of treatment.

Key words: methicillin-resistant staphylococcus aureus, sepsis, influenza A virus, respiratory insufficiency, child

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