持续不卧床性腹膜透析合并鲍曼不动杆菌腹膜炎2例和文献复习.pdf

250 塞丝匡堂垫!Q生筮≥!鲞筮兰翅△些匹丛地丛旦塑迥!尘：三!：堕!：呈：丛墅：呈Q!Q 持续不卧床性腹膜透析合并鲍曼不动杆菌腹膜炎2例及文献复习 黄蕾吴永贵卢 文 齐向明 钱浩 [摘要] 合并腹膜炎患者，培养示为鲍曼不动杆菌，根据药敏结果使用抗生素治疗。结果2例患者腹膜炎均没有得到控制，需要拔除腹膜 透析管。结论鲍曼不动杆菌腹膜炎常为难治性腹膜炎，及早拔除腹膜透析管可降低该类患者病死率。 【关键词] 腹膜透析；鲍曼不动杆菌；腹膜炎；治疗 doi：10．3969／j．issn．1000-0399．2010．03．022 Continuous combinedwithAcinetobacterbaumannii intwo withaliterature mbniatoryperitonealdialysis peritonitispatients review al 慨如i，WuYongKui，如Wen，et Department First Medical ofNephropathy，theA历liatedHospital，AnhuiUniversity，Hefei，230022，China To twoc娼es Aeinetobaeterball— continuousambulatory [Abstract]Objectivereport peritonealdialysis(CAPD)compheatedby were fluidcul- mannii intwocasesandreviewtheliterature．MethodsBaumannii demonstrated peritonitis peritonitis byperitonealdialysis were intwo werenot tureintwoca8e8CAPD treated to Patients patients．Patientsaccordingdrugsusceptibility．Resultsperitonitispatients associated was controlledwithout out catheter．ConclusionCAPD acinetobacterbaumannii dialysi8 peritonitisrefractory- pullingperitoneal out cathetercouldreducethe of one，pullingperitonealdialysis mortalitypatients． [Keywords]Peritoneal baumannii；Peritonitis；Treatment dialysis；Acinetobacter 持续不卧床性腹膜透析(continuousambulatory核大于单核，红细胞140×106／L～；腹透液培养鲍曼不 peritonealdialysis，CAPD)为慢性肾衰竭的替代疗法之动杆菌，药敏：氨苄青霉素／舒巴坦、头孢曲松、头孢他 一，而腹膜炎是CAPD治疗中最常见的临床并发症，也啶、头孢噻肟、亚胺培南