社区获得性鲍曼不动杆菌肺炎一例并文献回顾

本文报道1例社区获得性鲍曼不动杆菌肺炎患者，并发急性呼吸窘迫综合征（ARDS），先后采取小潮气量肺保护性通气、滴定式液体复苏、俯卧位通气、连续性肾替代治疗（CRRT）稳定内环境、调整抗生素剂量、升级抗生素、体外膜肺氧合（ECMO）等治疗，但病情还是进展加重，最终死亡。回顾治疗过程，感染未能完全控制是患者死亡的主要原因。因此，本文将患者的病情发展、治疗过程加以总结，以期为类似患者改善预后提供经验。

A case of community-acquired Acinetobacter baumannii pneumonia and a literature review

A patient with community-acquired Acinetobacter baumannii pneumonia complicated with acute respiratory distress syndrome (ARDS) was treated in our department. With low tidal volume lung protective ventilation, titrated fluid resuscitation, prone position ventilation, continuous renal replacement therapy (CRRT) intense antibiotic therapy and extracorporeal membrane oxygenation (ECMO) the disease still progressed and eventually the patient died. The failure to fully control the infection might be the main cause of death. This paper summarizes the development and treatment of the disease in order to provide experience for similar patients and improve their prognosis.