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本文报道绿脓杆菌败血症43例,均经血培养证实,35例的致病菌为单菌种绿脓杆菌,余8例为复数菌,其中绿脓杆菌与葡萄球菌3例;绿脓杆菌与肺炎杆菌2例;绿脓杆菌与变形杆菌、肺炎杆菌和变形杆菌、表皮葡萄球菌和类酵母菌各1例。院内感染34例(79％)。起病均急骤,伴畏寒、发热,严重者有休克、神态改变、颅内出血、弥漫性血管内凝血、下颌弥漫性蜂窝组织炎、肺迁徙性病灶、多脏器功能衰竭,病情凶险。病死率高达83.7％。
This article reports 43 cases of Pseudomonas aeruginosa sepsis, were confirmed by blood culture, 35 cases of single pathogenic bacteria Pseudomonas aeruginosa, more than 8 cases of multiple bacteria, Pseudomonas aeruginosa and Staphylococcus 3 cases; Pseudomonas aeruginosa and pneumonia Bacillus in 2 cases; Pseudomonas aeruginosa and Proteus, Klebsiella pneumoniae and Proteus, Staphylococcus epidermidis and yeast in 1 case. Nosocomial infection in 34 cases (79%). The onset was flash, with chills, fever, severe shock, dementia, intracranial hemorrhage, diffuse intravascular coagulation, diffuse mandibular cellulitis, lung migratory lesions, multiple organ failure, dangerous condition. Case fatality rate as high as 83.7%.