文献类型：期刊文献

中文题名：柴油吸入致重症外源性类脂性肺炎并发肺脓肿1例

英文题名：One case of severe exogenous lipoid pneumonia complicated with lung abscess caused by diesel inhalation

作者：王金霞[1,2];王彬彬[2];陈红纲[2];贺生亮[4];杨蓉佳[2];雷丰丰[3]

第一作者：王金霞

机构：[1]甘肃中医药大学第一临床医学院,兰州730000;[2]甘肃省人民医院急诊科,兰州730000;[3]甘肃省人民医院呼吸与危重症医学科,兰州730000;[4]甘肃省人民医院胸外一科,兰州730000

第一机构：甘肃中医药大学临床医学院

年份：2023

卷号：41

期号：9

起止页码：695

中文期刊名：中华劳动卫生职业病杂志

外文期刊名：Chinese Journal of Industrial Hygiene and Occupational Diseases

收录：CSTPCD;;Scopus;北大核心:【北大核心2020】；CSCD:【CSCD_E2023_2024】；PubMed;

语种：中文

中文关键词：肺炎;柴油;外源性类脂性肺炎;支气管肺泡灌洗液;肺炎克雷伯杆菌;肺脓肿

外文关键词：Pneumonia;Diesel oil;Exogenous lipoid pneumonia;Bronchoalveolar lavage;Klebsiella pneumonia;Lung abscess

摘要：外源性类脂性肺炎是一种吸入类脂性物质引起肺部炎性反应,易继发细菌感染,引起局部脓肿形成,严重时可危及生命。本文报道1例55男性患者误吸柴油,继发肺炎克雷伯杆菌(ESBL阳性)及光滑假丝酵母菌感染导致肺脓肿形成,先后进行多种抗菌药物抗感染、无创呼吸机通气、支气管肺泡灌洗、糖皮质激素、化痰等内科治疗效果不佳,最终行肺中叶段切除术好转出院,定期随访恢复良好。
Exogenous lipoid pneumonia is an inflammatory response to the lungs caused by inhaled lipid substances,which is prone to secondary bacterial infection,resulting in the formation of local abscesses,which can be life-threatening in severe cases.This paper reports a case of a 55-year-old patient with diesel aspiration,secondary to Klebsiella pneumoniae(ESBL positive)and Candida glabrata infection resulting in lung abscess formation.He was treated with a variety of antibacterial drugs for anti-infection,non-invasive ventilator ventilation,bronchoalveolar lavage,glucocorticoids,phlegm and other medical treatments.Finally,he underwent middle lobectomy for improvement and was discharged from the hospital,and he recovered well with regular follow-up.