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[儿童急性化脓性破坏性肺炎的病因]

[Etiology of acute suppurative destructive pneumonias in children].

作者信息

Sergeev V M, Mordvinova N B, Bychkov V A, Baranova G V

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 1975 Aug(8):53-9.

PMID:1202883
Abstract

Clinical, immunological and bacteriological studies were carried out in 63 children with the so-called staphylococcus destruction of the lungs. It was shown that in some of the cases destructive process in the lungs, along with the pathogenic staphylococcus, could be caused by the Gram negative bacteria (Proteus, Bac. pyocyaneus, etc.). It was found that in children of different age groups the titre of antistaphylococcus antibodies up to 0.5 AU/ml was normal and pointed to the absence of any inflammatory disease of staphylococcus etiology; a titre of 2 AU/ml - and overcould be considered as diagnostic. In connection with bacterial poly-etiology of acute destruction of the lungs in children it is suggested that it should be designated as "acute purulent destructive pneumonia". The importance of immuno-bacteriological studies in children with diseases with the mentioned pathology is emphasized; these examinations permit to choose proper complex therapy.

摘要

对63例所谓肺部葡萄球菌破坏的患儿进行了临床、免疫学和细菌学研究。结果表明,在某些病例中,肺部的破坏过程除了致病性葡萄球菌外,还可能由革兰氏阴性菌(变形杆菌、绿脓杆菌等)引起。研究发现,在不同年龄组的儿童中,抗葡萄球菌抗体滴度高达0.5 AU/ml是正常的,表明不存在任何葡萄球菌病因的炎症性疾病;滴度为2 AU/ml及以上可被视为有诊断意义。鉴于儿童肺部急性破坏的细菌多病因性,建议将其命名为“急性化脓性破坏性肺炎”。强调了对患有上述病理疾病的儿童进行免疫细菌学研究的重要性;这些检查有助于选择合适的综合治疗方法。

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