Tsinzerling A V, Ofengeim M L, Il'enko V I
Arkh Patol. 1982;44(3):54-9.
Sepsis was diagnosed in 9.5%-14.1% of fatalities in children. It was more frequently umbilical and caused by staphylococci, although of late mixed bacterial microflora was not infrequently detected. In 39 observations studied in detail sepsis was combined with acute respiratory infections (ARI) among which most important were viral respiratory infections (AVRI) as well as mycoplasmosis. The most important was the fact that AVRI not only were conducive to the generation of sepsis but caused its exacerbation. In the latter cases the development of fresh septic metastases was observed. This was associated with local (vascular damage) and general (disorders in the immunological status) changes in the patients arising as a result of AVRI.
脓毒症在儿童死亡病例中的诊断率为9.5%-14.1%。其多源于脐部,由葡萄球菌引起,不过近来也常检测到混合菌群。在详细研究的39例观察病例中,脓毒症与急性呼吸道感染(ARI)合并出现,其中最重要的是病毒性呼吸道感染(AVRI)以及支原体感染。最重要的是,AVRI不仅会引发脓毒症,还会使其病情加重。在后一种情况下,会观察到新的脓毒性转移灶的出现。这与AVRI导致的患者局部(血管损伤)和全身(免疫状态紊乱)变化有关。