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本文报道表皮葡萄球菌(SE)败血症86例,均经血培养证实,73例的致病菌为单菌种SE;余13例为复数菌,其中5例为四联球菌;3例为绿脓杆菌;2例为大肠杆菌;肺炎杆菌,金黄色葡萄球菌,绿脓杆菌和四联球菌各1例。均有原发疾病,其中使用肾上腺皮质激素、免疫抑制剂者48例(55.8%),术后感染者16例(18.6%),静脉输液细菌污染2例,挤压脓肿者1例。院内感染者70例(81.3%)。起病均急骤,严重者有高热、寒战、休克、神志改变、肺、关节等处迁徒性病灶,多脏器功能衰竭。病死率达52.3%。
This paper reports 86 cases of Staphylococcus epidermidis (SE) sepsis, confirmed by blood culture, 73 cases of single pathogenic bacteria SE; more than 13 cases of multiple bacteria, of which 5 cases of tetradococcus; 3 cases of Pseudomonas aeruginosa ; 2 cases of Escherichia coli; Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa and tetradococcus in 1 case. There were 48 cases (55.8%) with adrenal cortex hormones, immunosuppressive agents, 16 cases (18.6%) with postoperative infection, 2 cases of bacterial contamination by intravenous infusion and 1 case of compression abscess. Nosocomial infection in 70 cases (81.3%). The onset is abrupt, severe cases have high fever, chills, shock, change of mind, lungs, joints and other migratory lesions, multiple organ failure. Case fatality rate of 52.3%.