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本文报道自1971～1981年诊断和治疗了15例儿童化脓性心包炎.其病原菌为嗜血性流感杆菌7例,金黄色葡萄球菌属3例,链球菌、肺炎球菌、脑膜炎球菌、克雷白氏杆菌和周紫染色阳性球菌各1例,年龄分布为7天～6岁,其中14例小于4岁.临床表现有发热、呼吸急促或呼吸窘迫,腹痛、呕吐、脑膜炎、败血症、心包填塞和休克等.脓培养7例阳性,8例阴性.血培养9例阳性,6例阴性.治疗主要应用对细菌敏感的抗菌素如氨基苄青霉素、先锋霉素I、
This article reports the diagnosis and treatment of 15 cases of children with purulent pericarditis from 1971 to 1981. The pathogens are 7 cases of Haemophilus influenzae, 3 cases of Staphylococcus aureus, streptococcus, pneumococcus, meningococcus, Staphylococcus aureus and week violet staining of the positive cocci in 1 case, the age distribution of 7 days to 6 years, of which 14 cases were less than 4 years old. Clinical manifestations of fever, shortness of breath or respiratory distress, abdominal pain, vomiting, meningitis, sepsis, And shock, etc. Pus culture in 7 cases were positive, 8 cases were negative.The blood culture in 9 cases were positive, 6 cases were negative.The treatment is mainly applied to bacteria-sensitive antibiotics such as ampicillin, cephalosporin I,