Pessi T, Honkola H, Liikala E
Ann Chir Gynaecol. 1981;70(4):182-6.
From 1964 to 1980 a total of 18 patients with tetanus were treated at Tampere Central Hospital, 5 (28%) of whom died. No assurance regarding earlier immunization could be obtained in 15 cases. In 13 cases the site of infection was a small scratch on the finger, the legs or the face. The mean incubation period was 8 days. Ten patients suffered from severe tetanus and 8 from moderate tetanus. Eight patients, of whom 2 died, were treated in an ordinary ward. After the surgical intensive care unit was set up, 10 patients received treatment there. Three died. The mean duration of hospitalization was 27 days and the mean treatment period in the intensive care unit 24 days. Seven patients were asymptomatic when discharged and 6 had minor after-effects. Cardiovascular complications can be prevented by intensive care, but pulmonary embolism remains the commonest cause of death. Special attention should be paid to its prevention.
1964年至1980年期间，坦佩雷中心医院共收治了18例破伤风患者，其中5例（28%）死亡。15例患者无法确定其既往免疫情况。13例患者的感染部位为手指、腿部或面部的小擦伤。平均潜伏期为8天。10例患者患有严重破伤风，8例患有中度破伤风。8例患者在普通病房接受治疗，其中2例死亡。外科重症监护病房设立后，10例患者在该病房接受治疗，3例死亡。平均住院时间为27天，在重症监护病房的平均治疗时间为24天。7例患者出院时无症状，6例有轻微后遗症。通过重症监护可以预防心血管并发症，但肺栓塞仍然是最常见的死亡原因，应特别注意预防。
