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我院1990年4月至1996年12月收治粘质沙雷氏杆菌败血症80例,其中漏诊45例,现分析报告如下,以引起重视。 1 临床资料 1.1 一般资料:45例漏诊粘质沙雷氏杆菌败血症的患者中,男31例,女14例,男:女—2.21:1。年龄8天—2岁,其中8—28天11例(24.4％)。农村40例,城市5例,农村:城市—8:1。 1.2 临床表现:症状:发热45例,均反复发热>1周,其中38—39℃17例,39—40℃C23例,40℃以上5例。热程7—14天。咳嗽17例,呕吐14例,腹泻14例,皮肤感染(疖肿、湿疹、皮炎、脐炎)12例。体征:疲乏
Our hospital from April 1990 to December 1996 were treated 80 cases of Serratia marcescens sepsis, of which 45 cases of missed diagnosis report is as follows, in order to attract attention. 1 Clinical data 1.1 General information: 45 cases of missed diagnosis Serratia marcescens sepsis in patients, 31 males and 14 females, male: female -2.21: 1. Age 8 days -2 years old, 8-28 days in 11 cases (24.4%). 40 in rural areas, 5 in urban areas and 8: 1 in rural areas. 1.2 Clinical manifestations: Symptoms: 45 cases of fever, repeated fever> 1 week, of which 38-39 ℃ 17 cases, 39-40 ℃ C23 cases, 5 cases above 40 ℃. Heat stroke 7-14 days. Cough in 17 cases, vomiting in 14 cases, 14 cases of diarrhea, skin infections (carbuncles, eczema, dermatitis, omphalitis) in 12 cases. Signs: tired