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一、本文报告了我院自1960年7月至1963年1月所遇到的革兰氏阴性杆菌敗血症病人26例:包括大腸杆菌敗血症12例,副大腸杆菌敗血症9例,变形杆菌敗血症3例,产碱杆菌败血症1例,綠脓杆菌敗血症1例。发病率有逐漸增加的趋势。二、分析了革兰氏阴性杆菌敗血症的感染途径,主要症状,体征及化驗結果。三、本文討論了有关革兰氏阴性杆菌败血症的診断,鑑别診断与治疗問題。四、休克为本病的重要致命因素,产生之机轉,可能由于內毒素导致血液动力学改变的結果。挽救休克,在治疗上是首要的。 (附)本文承內科王景宣主任审閱及外科、妇产科、泌尿科、細菌室供給病案材料并允于报告併致謝忱。
First, this paper reports 26 cases of Gram-negative bacilli septicemia encountered in our hospital from July 1960 to January 1963: including 12 cases of Escherichia coli septicemia, 9 cases of secondary Escherichia coli sepsis, 3 cases of Proteus sepsis , Alcaligenes sepsis in 1 case, Pseudomonas aeruginosa sepsis in 1 case. There is a gradual increase in the incidence of the trend. Second, the analysis of Gram-negative bacilli sepsis infection, the main symptoms, signs and test results. Third, this article discusses the diagnosis, differential diagnosis and treatment of gram-negative bacilli sepsis. Fourth, shock is an important fatal factor of this disease, the resulting mechanism may be due to endotoxin lead to hemodynamic changes in the results. Saving shock, is the primary treatment. (Attached) This article is subject to medical director Wang Jingxuan review and surgical, obstetrics and gynecology, urology, bacteria room supply of medical records and allow the report and thank you.