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临床和实验室检查牙源性脓毒病37例,男23例,女14例,年龄23～64岁。多间隙感染,有明显的全身中毒症状:发热,头痛,乏力,多汗,恶寒,食欲不佳,关节、肌肉疼痛,咳嗽,呼吸困难等。传统的细菌学检查包括血液和伤口分泌物培养;此外,用气相层析仪检测血液和伤口分泌物的挥发脂酸浓度,挥发脂酸为厌氧菌特异性最终代谢产物,在生物标本中其浓度小于0.004％,如超过此浓度可作为有厌氧菌参与炎症病变的可靠证据。 细菌培养结果,查出葡萄球菌7例,链球菌3例,革兰氏阳性和阴性菌16例,厌氧菌11例。厌氧菌感染
Clinical and laboratory tests of odontogenic sepsis in 37 cases, 23 males and 14 females, aged 23 to 64 years. More space infection, there are obvious symptoms of systemic poisoning: fever, headache, fatigue, sweating, aversion to poor appetite, joint, muscle pain, cough, breathing difficulties. Traditional bacteriological tests include the cultivation of blood and wound secretions; in addition, volatile fatty acid concentrations in blood and wound secretions are detected by gas chromatography, and volatile fatty acids are specific end metabolites of anaerobic bacteria. In biological specimens Concentration of less than 0.004%, such as more than this concentration can be used as anaerobic bacteria involved in inflammatory lesions and reliable evidence. Results of bacterial culture showed that 7 cases were staphylococcus, 3 cases were streptococcus, 16 cases were Gram-positive and negative bacteria and 11 cases were anaerobic bacteria. Anaerobic infections