摘要
目的分析急性脑梗死并发败血症的临床表现。方法对25例急性脑梗死并发败血症患者的临床资料进行分析。结果在25例急性脑梗死并发败血症的患者中,通过全血细菌培养,均有阳性结果,其中,大肠埃希氏菌9例,占36%,表皮葡萄球菌5例,占20%,金黄色葡萄球菌4例,占16%,其他细菌7例,占28%;伴肺部感染者6例,占24%,泌尿系感染者8例,占32%,无明确感染病灶者11例,占44%。所有患者均有发热及精神差。结论脑梗死并发败血症的患者,大多数临床检查未发现原发感染病灶,均有发热及精神差,血常规WBC数目增高,中性粒细胞比例增高,败血症症状不典型。对急性脑梗死患者住院治疗后出现不明原因的发热,应进行血细菌培养和药敏试验,选择敏感抗生素予治疗,大多预后良好。
Objective To analyse the clinical manifestation of acute cerebral infarction complicated with septicemia.Methods The retrospective data of 25 patients with acute cerebral infarction complicated with septicemia were included in our studies.Results All patients with septicemia were confirmed by hemoculture. The most common organism identified were Escherichia （ 36% ）, Staphylococcus epidermidis （ 20% ） and Staphylococcus aureus （ 16% ） respectively.Of these cases,6 patients （ 24% ） had pulmonary infection, 8 patients （ 32% ） had urinary system infection, while ll （ 44% ） patients had not definite system infection.All of them had fever and bad spirit.Conclusion Most of patients with acute cerebral infarction complicated with septicemia had not definite system infection.However, it didn＇ t always have typical manifestation of septicemia,for instance,fever, bad spirit, leukocytotic and increased neutrophilic granulocyte count.When patients with acute cerebral infarction had fever of undetermined origin,hemocuhure and antibiotic susceptibility testing was strongly recommended.
出处
《中国医药科学》
2011年第12期104-105,共2页
China Medicine And Pharmacy
关键词
急性
脑梗死
败血症
Acutive
Cerebrolinfarction
Septicemia
