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[脓毒症的临床形态学类型(过去20年尸检材料分析)]

[Clinico-morphologic forms of sepsis (analysis of autopsy material over the past 20 years)].

作者信息

Shabanov A M, Volkov V P, Shlinchak N V, Nikol'skaia R I, Lubashevskiĭ V T

出版信息

Arkh Patol. 1982;44(3):70-3.

PMID:7082192
Abstract

An analysis of 385 fatal cases of sepsis in therapeutic institutions for the past 20 years was carried out. The septico-pyemic variant was found to be predominant. Bacteriological studies revealed that the predominant causative agent was pathogenic staphylococcus (54.9%), less frequently streptococcus, Escherichia coli, and Pseudomonas aeruginosa. Changes in the spectrum of the causative agents in the last two decades appear to reflect changes in the ecological conditions, immunologic responsiveness of the population, directed natural and therapeutic pathomorphosis. The analysis of the frequency and nature of divergencies in the clinical and pathoanatomic diagnoses indicate certain differences in sepsis diagnosis nowadays.

摘要

对过去20年治疗机构中385例败血症死亡病例进行了分析。发现脓毒血症变体占主导地位。细菌学研究表明,主要病原体是致病性葡萄球菌(54.9%),链球菌、大肠杆菌和铜绿假单胞菌较少见。过去二十年病原体谱的变化似乎反映了生态条件、人群免疫反应性、定向自然和治疗性病理形态学的变化。对临床和病理解剖诊断差异的频率和性质分析表明,如今败血症诊断存在一定差异。

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