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著者报告一例女患者,58岁,因双侧大叶性肺炎入 ICU病房。开始时静注头孢呋肟与红霉素抗炎治疗。血培养有肺炎链球菌生长,故次日,将抗生素改为苄星青霉素。因存有严重的低氧血症与CO_2蓄积,给予气管插管,进行人工呼吸治疗,并因右侧气胸做闭式引流。应用硝酸甘油与多巴胺维持循环稳定,肺动脉平均压为4.7～5.3kPa。病人无心、肾与肝功能异常。虽然给予容量控制呼吸,每分通气量12L,呼吸频率12bpm,
The author reported a female patient, aged 58, who entered the ICU ward due to bilateral lobar pneumonia. At the beginning of intravenous injection of cefuroxime and erythromycin anti-inflammatory treatment. Streptococcus pneumoniae blood culture growth, so the next day, the antibiotic changed to benzathine penicillin. Due to the presence of severe hypoxemia and CO 2 accumulation, endotracheal intubation, artificial respiration therapy, and because of the right pneumothorax closed drainage. Application of nitroglycerin and dopamine to maintain cycle stability, average pulmonary artery pressure of 4.7 ~ 5.3kPa. Patient inadvertently, kidney and liver dysfunction. Although giving capacity-controlled breathing, 12L ventilation, respiratory rate 12bpm,