Soltész S, Biedler A, Ohlmann P, Molter G
Klinik für Anaesthesiologie und Intensivmedizin, Universitätskliniken des Saarlandes, Homburg.
Zentralbl Gynakol. 1999;121(9):441-3.
A healthy 31-year-old woman showed a severe septic shock syndrome a few days after vaginal delivery. In the episiotomy wound were found Group A Streptococci and E. coli. Although an antibiotic therapy was instituted immediately, the condition of the patient worsened. Platelet counts fell below 5000/microliter and she developed respiratory, cardiocirculatory and renal insufficiency, so that mechanical ventilation, high-dose-catecholamine therapy and continuous venovenous hemodiafiltration had to be performed. In the course of the disease the patient showed a reversible cardiomegaly with pulmonary hypertension and an extensive desquamation of the skin. Fever persisted in spite of the fact that in all following clinical and laboratory examinations no septic focus could be revealed any longer. She recovered slowly and could not be weaned from the respirator for four weeks because of a severe critical illness polyneuromyopathy.
一名31岁健康女性在阴道分娩几天后出现严重的脓毒性休克综合征。在会阴切开伤口处发现了A组链球菌和大肠杆菌。尽管立即开始了抗生素治疗，但患者的病情仍恶化。血小板计数降至每微升5000以下，她出现了呼吸、心肺循环和肾功能不全，因此不得不进行机械通气、大剂量儿茶酚胺治疗和持续静脉血液透析滤过。在疾病过程中，患者出现了可逆性心脏扩大伴肺动脉高压以及广泛的皮肤脱屑。尽管在随后所有的临床和实验室检查中再也没有发现脓毒症病灶，但发热仍持续存在。她恢复缓慢，由于严重的危重病性多神经肌病，四周内无法脱离呼吸机。
