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14 d后,胸部CT检查显示有胸腔积液,未予特殊处理;治疗16 d,患者出现呼吸困难,予以面罩吸氧等治疗后症状缓解;治疗24 d,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100 mL,每日2次静脉滴注;治疗26 d,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2 d,患者呼吸困难等症状明显缓解,肺部感染得到控制。
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,the 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,and the symptom relieved;on day 24,dyspnea happened again,and the symptom didn＇t relieve though a larger amout of oxygen was given.And thus 100 ml Fluconazole Injection was given intravenously twice daily;on day 26,the dyspnea didn＇t turn belter,and 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.
出处
《中国烧伤创疡杂志》
2017年第1期24-26,共3页
The Chinese Journal of Burns Wounds & Surface Ulcers
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
Integrative medicine
Severe burns
Acute renal failure
Pulmonary fungal infection
Case report
