1.患者简介患者,男,50岁,多年酗酒,因发热、咳嗽4天,来院急诊科就诊。患者咳有血性脓痰,咳嗽及深呼吸时右胸痛。呈营养不良状且嗜酒成性。查体,体温38.9℃,脉搏105次/min,呼吸30次/min,白细胞计数升高。胸透示右下肺呈高密度浸润,伴明显肺脓肿,取痰样病原学检查示肺炎克雷伯杆菌。诊断:大叶性肺炎患者已使用过阿莫西林/克拉维酸钾、头孢哌酮钠/舒巴坦钠,但均未显效。 1. Patient profile Patients, male, 50 years old, for many years alcoholism, due to fever, cough for 4 days, to hospital emergency department treatment. Patient cough bloody purulent sputum, cough and deep right chest pain when breathing. Was malnourished and alcoholic. Physical examination, body temperature 38.9 ℃, pulse 105 beats / min, breathing 30 beats / min, white blood cell count increased. Thoracic showed right lower lung was high density infiltration, with obvious lung abscess, take sputum-like pathogenic examination showed Klebsiella pneumoniae. Diagnosis: Patients with lobar pneumonia have been using amoxicillin / clavulanate potassium, cefoperazone sodium / sulbactam sodium, but were not effective.