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梭状芽胞杆菌败血症在城市医院罕见。其临床表现多不典型,常需尸检才能确诊。最近一份研究在1708份血培养中仅发现22份为梭状芽胞杆菌,尽管抗生素和其他急救处理有很大进展,但死亡率仍高达40%。为此,作者复习了 Mew York 医院 Cornell 医学中心1970~1989年间收治血培养出梭状芽胞杆菌阳性且资料完整的56例患者情况,并根据有无免疫抑制分为二组进行研究。全组56例,男32例,女24例,平均年龄53岁(17月~85岁)。最常见的病原菌种为产气荚膜杆菌
Clostridium septicemia is rare in urban hospitals. The clinical manifestations of atypical, often require autopsy to confirm. In a recent study, only 22 of 1708 blood cultures were found to be Clostridium. Despite significant advances in antibiotics and other first aid treatments, the mortality rate was as high as 40%. To this end, the authors reviewed the 56 patients with positive Clostridium-positive and complete data from Cornell Medical Center at Mew York Hospital from 1970 to 1989 and divided them into two groups based on the presence or absence of immunosuppression. The whole group of 56 patients, 32 males and 24 females, mean age 53 years (17 months to 85 years old). The most common pathogen is Clostridium perfringens