败血症及其死亡病例病因分析
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储从家

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R515.3

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Causes of septicemia and death
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    摘要:

    目的探讨败血症及因其死亡患者的临床和细菌学特征。方法回顾性分析某院6年来临床确诊治疗的240例败血症及因其死亡的29例患者的临床和实验室资料。结果240例败血症患者血培养共分离感染菌62种,凝固酶阴性葡萄球菌(CNS)居所有病原菌首位,占27.92%;29例病死患者中,革兰阴性(G-)杆菌(大肠埃希菌占41.38%)败血症最多,占65.52%,其次是CNS,占20.69%。死亡病例中,男性多于女性(χ2=5.29,P<0.05),≥15岁者多于<15岁者(χ2=5.59,P<0.05),医院感染者多于社区感染者(χ2=43.94,P<0.01)。结论CNS为败血症的首要病原菌,但以大肠埃希菌为主的G-杆菌仍是导致败血症患者死亡的主要病原菌。败血症死亡者中,以成人、男性、医院感染者居多。

    Abstract:

    ObjectiveTo investigate the clinical and bacteriological characteristics of the death of patients with septicemia.MethodsClinical and experimental data of 240  patients with septicemia (29 patients died from septicemia) in a hospital in 6 years were analysed retrospectively. ResultsSixtytwo species of pathogens were isolated from 240 patients, the main pathogens were Coagulase negative Staphylococcus (CNS), which accounting for 27.92%; among 29 patients died from septicemia, the majority were septicemia caused by gramnegative bacilli (41.38% were Escherichia coli), which accounting for 65.52%, the next were CNS (20.69%). Among patients died from septicemia, male patients were more than female patients (χ2=5.29, P<0.05), age≥15 years old were more than age<15 years old (χ2=5.59, P<0.05), nosocomial infections were more than communityacquired infections (χ2=43.94, P<0.01). ConclusionCNS are the main pathogens causing septicemia, but Escherichia coli of gramnegative bacilli is still the main pathogen. Among patients died from septicemia, the predominant are adults, male patients and patients with nosocomial infection.

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孔繁林,储从家,管新龙,等.败血症及其死亡病例病因分析[J]. 中国感染控制杂志,2009,8(2):115-117.
KONG Fanglin, CHU Congjia, GUAN Xinlong, et al. Causes of septicemia and death[J]. Chin J Infect Control, 2009,8(2):115-117.

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  • 收稿日期:2008-01-03
  • 最后修改日期:2008-03-26
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  • 在线发布日期: 2009-03-30
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