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葡萄球菌性肺炎病死率较高(10—25％)。转化迅速,可在数小时内自轻症转为险症或死亡。故要求诊断迅速。兹选择本院经确诊之135例加以分析,讨论诊断问题;初步提出疑诊及确诊标准,供临床参考。临床分析 135例经呼吸道感染的原发性病例82例,继发性病例53例(表一)。一、年龄:发病诱因及起病时主要临床表现:本组包括96例(71.4％)儿童(未满13足岁者)及39例(28.6％)少年及成人。年龄小于1岁者占全部儿童病例的55.2％(53例),小于2月者39.6％。原发组中,76.8％(63/82)起病前有上呼吸道炎(包括腺病毒样感染)、流感、麻疹、慢性支气管炎及支气管哮喘等病史。继发组中,以疖及深部软组织脓肿较多见(50.1％)。全组急性起病者占
Staphylococcal pneumonia has a high mortality (10-25%). Rapid conversion, can be changed from mild to dangerous illness or death within a few hours. It requires prompt diagnosis. It is hereby confirmed that 135 cases diagnosed in our hospital have been analyzed to discuss the diagnosis problems. The preliminary diagnosis and diagnosis criteria are proposed for clinical reference. Clinical analysis of 135 cases of respiratory tract infection in 82 cases of primary cases, 53 cases of secondary (Table 1). First, the age: predisposing factors and onset of the main clinical manifestations: This group includes 96 cases (71.4%) of children (less than 13-year-olds) and 39 cases (28.6%) of adolescents and adults. 55.2% (53 cases) of children younger than 1 year old accounted for 39.6% of all children less than 2 months. In the primary group, 76.8% (63/82) had a history of upper respiratory tract infection (including adenovirus-like infection), flu, measles, chronic bronchitis and bronchial asthma before onset. In the secondary group, pus and deep soft tissue abscess were more common (50.1%). The whole group of acute onset accounted for