Knight G J, Carman P G
Princess Margaret Hospital for Children, Perth, Western Australia.
J Paediatr Child Health. 1992 Dec;28(6):447-50. doi: 10.1111/j.1440-1754.1992.tb02715.x.
Primary staphylococcal pneumonia is a rapidly progressive illness with well-described clinical and radiological features and a significant mortality rate. This retrospective study of cases diagnosed over a 20 year period at a tertiary paediatric hospital was undertaken to document the epidemiology and assess the management and mortality of the disease. The survey demonstrated that far fewer patients are being seen than formerly and confirmed that this is a disease primarily affecting infants and Aboriginal children. The initial radiological features were not diagnostic in the majority of cases but typical changes appeared in most at some time during the illness. The use of surgical drainage was not associated with a decrease in the duration of fever or length of hospital stay. The mortality rate has improved but remains significant.
原发性葡萄球菌肺炎是一种进展迅速的疾病，具有明确的临床和影像学特征，死亡率较高。本项回顾性研究对一家三级儿科医院20年间确诊的病例进行分析，旨在记录该疾病的流行病学特征，并评估其治疗方法及死亡率。调查表明，与以往相比，目前就诊的患者数量大幅减少，且证实这是一种主要影响婴儿和原住民儿童的疾病。大多数病例的初始影像学特征不具有诊断性，但在病程中的某些时候，大多数患者会出现典型变化。采用手术引流与发热持续时间或住院时间的缩短并无关联。死亡率虽有所改善，但仍然很高。
