Malhotra M, Gupta H L, Mondal A
Department of Medicine, Lady Hardinge Medical College, New Delhi.
J Indian Med Assoc. 1990 May;88(5):131-3.
Twenty-five female patients of septicaemia aged 15-50 years comprised this study. Twenty-three patients (92%) were in the reproductive age group (15-35 years). Sixteen patients (64%) had some relation to parity, suggesting an increased risk of septicaemia in women with puerperal sepsis. The commonest primary source of infection was the female genital tract (48%). Gram-negative septicaemia was the commonest. The pleuropulmonary complications observed were pneumonia (10 cases), lung abscess (7 cases), empyema (3 cases), septic pulmonary embolisation (4 cases) and adult respiratory distress syndrome (4 cases). Seven cases of the total 25 died. Adult respiratory distress syndrome with septicaemia was the commonest cause of mortality in these patients.
本研究纳入了25例年龄在15至50岁之间的女性败血症患者。23例患者（92%）处于生育年龄组（15至35岁）。16例患者（64%）与产次有关，提示产褥期败血症女性患败血症的风险增加。最常见的主要感染源是女性生殖道（48%）。革兰氏阴性败血症最为常见。观察到的胸膜肺部并发症包括肺炎（10例）、肺脓肿（7例）、脓胸（3例）、感染性肺栓塞（4例）和成人呼吸窘迫综合征（4例）。25例患者中7例死亡。败血症合并成人呼吸窘迫综合征是这些患者最常见的死亡原因。
