老年人败血症
Septicaemia in the elderly.
作者信息
Madden J W, Croker J R, Beynon G P
出版信息
Postgrad Med J. 1981 Aug;57(670):502-6. doi: 10.1136/pgmj.57.670.502.
Abstract
A retrospective study was made of 44 elderly patients with bacteraemia treated in the period 1974-1980. Positive blood cultures in 5 cases were considered clinically insignificant. Twenty-six of the remaining 39 patients were found to have a Gram-negative bacteraemia, mainly associated with urinary tract infection. Abnormalities of liver function were common but 5 jaundiced patients with Gram-negative infection were shown to have stones in the common bile duct. The value of blood cultures as a diagnostic aid in the non-specifically ill elderly patient is emphasized.
摘要
对1974年至1980年期间接受治疗的44例老年菌血症患者进行了回顾性研究。5例血培养阳性在临床上被认为无意义。其余39例患者中有26例被发现患有革兰氏阴性菌血症，主要与尿路感染有关。肝功能异常很常见，但5例革兰氏阴性感染的黄疸患者被发现胆总管有结石。强调了血培养作为非特异性患病老年患者诊断辅助手段的价值。
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