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随机选取近3年我科发热2周以上院外治疗无效,诊断为克雷伯菌属败血症33例,作临床分析。1 临床资料1.1 一般资料 33例中,男21例(63.6％),女12例(36.4％)。年龄1～3岁4例(12.1％),～7岁23例(69.6％),～10岁6例(18.2％)。临床表现均为发热2周以上,第1周为不规则发热,第2周后为持续高热。安乃近等解热镇痛药肌注后均无效。伴呼吸道症状6例(18.2％),表浅淋巴结肿大1例(12.1％),肝脾均无肿大,中毒症状重5例(15.1％),中毒症状轻28例(84.9％)。1.2 白细胞总数及中性粒细胞正常25例(75.8％),增高8例(24.2％),且白细胞总数均未超过17×10~9/L,胸片肺炎8例
Randomly selected in the past 3 years, our department fever for 2 weeks or more out-of-hospital treatment is invalid, the diagnosis of Klebsiella sepsis in 33 cases for clinical analysis. 1 Clinical data 1.1 General Information 33 cases, 21 males (63.6%) and 12 females (36.4%). Four patients (12.1%) aged 1 to 3 years, 23 patients (69.6%) at 7 years and 6 patients (18.2%) at 10 years old. Clinical manifestations were fever for more than 2 weeks, the first week of irregular fever, the first two weeks after sustained high fever. Analgin and other antipyretic analgesics after intramuscular injection are invalid. There were 6 cases (18.2%) with respiratory symptoms and 1 case (12.1%) with superficial lymph nodes. There was no swelling in both liver and spleen. The symptoms of poisoning were 5 (15.1%) and 28 (84.9%) were mild. 1.2 The total number of leukocytes and neutrophils in 25 cases (75.8%), an increase of 8 cases (24.2%), and the total number of leukocytes were not more than 17 × 10 ~ 9 / L, chest radiography in 8 cases