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克雷伯氏菌败血症,病情凶险,预后恶劣,临床少见,我院于1983～1985年收治2例,现报告如下。例1 1.5岁。患儿4天前发热,咳嗽,体温39～42℃。当地按“上感”给予解热药及青霉素、氯霉素治疗,疗效不佳。1天前病情加重而于1983年2月4日急来我院。体查:体温40.5℃,脉搏148次,呼吸32次。急性病容,精神萎靡。咽部略充血,颈无抵抗,左肺闻及中、小水泡音。肝肋下1.5cm,脾未触及。未引出病理性神经反射。实验室检查,血白细胞19100,多核70％,淋巴30％,血红蛋白12.5g,尿、大便及血生化均无异常。X线报告:肺纹理增多。入院诊断为支气管肺炎。
Klebsiella septicemia, dangerous condition, poor prognosis, clinical rare, our hospital in 1983 to 1985 admitted to 2 cases, are as follows. Example 1 1.5 years old. Children 4 days ago fever, cough, body temperature 39 ~ 42 ℃. According to the local “sense” to give antipyretics and penicillin, chloramphenicol treatment, poor efficacy. A day ago, the condition worsened and came to our hospital on February 4, 1983. Physical examination: body temperature 40.5 ℃, pulse 148 times, breathing 32 times. Acute illness, apathetic. Throat a little congestion, the neck without resistance, smell the left lung, small blisters sound. Liver ribs 1.5cm, spleen not touched. Did not elicit pathological reflexes. Laboratory tests, white blood cells 19,100, 70% multi-core, lymph 30%, hemoglobin 12.5g, urine, stool and blood biochemical no abnormalities. X-ray report: increased lung markings. Admitted to diagnosed bronchial pneumonia.