Veksler D B
Arkh Patol. 1980;42(7):39-43.
An analysis of pediatric autopsy material for 15 years (1963--1978) revealed an increase in the percentage of sepsis in the general structure of child mortality from 10.0% to 23.3%. The primary focus is most frequently localized in the cord arteries. In infants of the first 3 months of age septicemia, frequently accompanied by ulcerative enterocolitis is more prevalent. Many infants have unfavourable backgrounds such as fetopathy, congenital malformations, birth traumas. Sepsis should be differentiated from congenital cytomegaly, adrenogenital syndrome, mucoviscidosis, intestinal infections with long duration, and sepsis with the hemolytic syndrom from hemolytic disease of neonates.
对15年(1963 - 1978年)儿童尸检材料的分析显示,败血症在儿童死亡总体结构中的占比从10.0%增至23.3%。主要病灶最常位于脐动脉。在出生后前3个月的婴儿中,败血症较为常见,常伴有溃疡性结肠炎。许多婴儿有诸如胎儿病、先天性畸形、产伤等不良背景。败血症应与先天性巨细胞症、肾上腺性征异常综合征、粘多糖病、病程较长的肠道感染以及新生儿溶血病伴溶血性综合征所致的败血症相鉴别。