摘要
目的分析本院成功救治的1例创伤弧菌感染病例,为实验室和临床提供经验。方法回顾性分析2017年7月我科鉴定的1株来自手坏死性筋膜炎病例感染创伤弧菌的检验过程,结合其临床资料、病理报告等进行实验室检查。结果患者感染早期水疱液、术中渗出液都培养出创伤弧菌,但血培养阴性。临床根据实验室鉴定与药敏结果 ,及时调整抗感染药物、积极手术清创,患者感染得到及时控制,经过67 d治疗后,患者康复出院。结论感染患者早就诊、实验室早确证病原体、临床早运用有效抗感染药物治疗及手术干预是影响患者预后的关键。
Objective To analyze 1 case of Vibrio vulnificus infection successfully treated in our hospital and provide experience for laboratory and clinic. Methods A strain of Vibrio vulnificus isolated from 1 case of hand necrotizing fasciitis identified by our department in July 2017 was retrospectively analyzed, and its clinical data and pathological reports were combined for laboratory examination. Results Vibrio vulnificus was cultured in the patient′s blister fluid and intra-operative exudate of the early stage of infection, with a negative result of the blood culture. According to the results of laboratory identification and drug sensitivity in clinic, anti-infective drugs were adjusted in time, and surgical debridement was carried out actively. The infection of patients was controlled in time. After 67 days of treatment, the patient recovered and discharged. Conclusion It is concluded that early diagnosis of infectious patient, early laboratory identification of pathogens, early clinical application of effective anti-infective drugs and surgical intervention are the key factors affecting the prognosis of the patient.
作者
周世娟
ZHOU Shi-juan(Department of Clinical laboratory, Huidong County Peopoe′s Hospital, Guangdong Province, Huidong 516300, China)
出处
《中国当代医药》
2019年第12期197-199,F0004,共4页
China Modern Medicine
基金
广东省惠州市科技计划(医疗卫生项目)立项项目(2016Y251)
关键词
创伤弧菌
坏死性筋膜炎
败血症
Vibrio vulnificus
Necrotizing fasciitis
Septiaemia
