摘要
本文复习了我院1961至1991年间共收治的败血症1009例,对其中并发中枢神经系统(CNS)损害的78例作了回顾性分析.致病菌以金黄色葡萄球菌和链球菌最常见.CNS症状的出现以脓毒-栓塞性脑损害、颅内细菌性动脉瘤破裂出血及蛛网膜下腔出血病例的病情变化最为迅速.感染中毒性脑病、脑膜炎及脑脓肿的表现容易被败血症症状所掩盖.混合型脑损害患者的病情更为凶险,病死率亦高.总的病死率为35.8%.治疗结果除与抗菌治疗是否得当外,尚与诊断是否及时。
This paper reviewed the ease histories of 1009 cases of septicemia admitted into this hospital from 1961 to 1991. 78 cases complicated with central nervous system lesions were analyzed retrospectively. The commonly encountered pathogens were Staph. aureus and streptococcus. The appearance of central nervous system symptomatology was sudden in the pyemic-embolic brain lesion, rupture of intra-cranial mycotic aneurysm and subarachnoid hemorrhage; while the symptoms of toxic encephalopathy, meningitis and brain abscess were easily concealed by the clinical picture of septicemia. Mixed brain lesions had the most severe symptoms, and the mortality was also the highest. Total mortality was 35.8%. The therapeutic result depended not only upon the selection of antimicrobial agents, but also upon promptness of definite diagnosis, the type of central nervous system lesion and the underlying diseases
出处
《重庆医科大学学报》
CAS
CSCD
1992年第2期114-117,共4页
Journal of Chongqing Medical University
