摘要
报道经血培养证实老年细菌性败血症47例。致病菌包括:金黄色葡萄球菌19例、大肠杆菌7例、绿脓杆菌2例、肺炎杆菌等共47例,全部为单一菌种感染。起病缓慢者25例,体温≤37.9℃18例,休克15例。重症患者常伴DIC、急性肾功能衰竭、电解质紊乱等严重并发症。病情多凶险,病死率66.0％。70～88岁组病死率75.0％(15/20例),其中院内感染者病死率100％(8/8例),明显高于院外感染的58.3％(7/12例)。回顾15年来院内感染金黄色葡萄球菌老年败血症有逐年增多趋势。作者对老年败血症的临床特点和治疗作了探讨。
47 cases of septicemia in the aged were reported. Blood cultures revealed positive pathogenic organisms in 47 cases, including Staphhylococcus aureus (19 cases), Escherichia coli (7 cases), Pseudo monas aeruginosa (2 cases), Klebsiella pneumoniae (7 cases), Staphylococcus epidermidis (4 cases) and etc. Each of the patients was infected by a single bacterial strain. The onset was gradual in 25 cases. Body temperature equal to or below 37.9℃ was found in 18 cases. 15 patients developed shock. Severely ill patients were usually associated with DIC, acuterenal failure, electrolyte disturbance and other serious complications.31 patients died with a mortality of 66.0%. Mortality was 75.0% (15/20) in patients who were 70-80 years old. Among them, nosocomial infections had a mortality of 100% (8/8), which ob- viously higher than that of 58.3% (7/7) seen in the community-acquired cases. Septicemia in the aged caased by Staphylococcus aureus in the hospital has been increasin in the past 15 years. The aubhors ana- lyzed the clinical, features and the treatments of septicemia in 47 aged patients.
出处
《中国危重病急救医学》
CAS
CSCD
1993年第5期288-291,共4页
Chinese Critical Care Medicine
