Wang X W, Lu C S, Zhang Z M, Wong C Y, Tu D K, Zapata-Sirvent R L
Burns Incl Therm Inj. 1984 Feb;10(3):188-92.
Verdoglobinuria is considered to be an ominous sign of Pseudomonas aeruginosa septicaemia in burns. No report of the survival of a case with this phenomenon could be found in the literature. Stone et al. (1964) first reported verdoglobinuria as an important diagnostic basis for P. aeruginosa septicaemia in burns. A patient with high-tension electrical injury was admitted to our hospital burn department in 1977. Verdoglobinuria occurred. This patient is reported as follows. There was a large defect in the left chest wall with exposure of the heart and secondary P. aeruginosa pyothorax which happened during the early stage of injury. It led to septicopyraemic shock. The patient's urine was examined under ultraviolet rays, the fluorescence was ultrapositive. Verdoglobinuria was positive proof. After active measures were administered, the patient was out of danger from this septicopyraemic shock. The metabolism mechanism of verdoglobin, diagnostic effect of verdoglobinuria on P. aeruginosa septicaemia in severe burns and treatment are discussed.
绿色血红蛋白尿被认为是烧伤患者铜绿假单胞菌败血症的不祥征兆。文献中未发现有出现这种现象的患者存活的报道。斯通等人（1964年）首次报道绿色血红蛋白尿是烧伤患者铜绿假单胞菌败血症的重要诊断依据。1977年，一名高压电损伤患者入住我院烧伤科。出现了绿色血红蛋白尿。现将该患者情况报告如下。左胸壁有一大块缺损，心脏外露，伤后早期发生继发性铜绿假单胞菌脓胸。导致了脓毒败血症休克。对患者尿液进行紫外线检查，荧光呈超强阳性。绿色血红蛋白尿呈阳性。采取积极措施后，患者从这次脓毒败血症休克中脱离危险。本文讨论了绿色血红蛋白的代谢机制、绿色血红蛋白尿对严重烧伤患者铜绿假单胞菌败血症的诊断作用及治疗方法。
