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与静脉导管相关感染的识别

Recognition of infection associated with intravenous catheters.

作者信息

Freeman R, King B

出版信息

Br J Surg. 1975 May;62(5):404-6. doi: 10.1002/bjs.1800620519.

DOI:10.1002/bjs.1800620519
PMID:806318
Abstract

Four cases are described in which the patients suffered from bacteriaemia due to infected intravenous infusions. Although all the patients were pyrexial, the white cell count was normal in all 4 cases at diagnosis and the infusion site appeared innocent. Following removal of the intravenous catheter and the institution of antibiotic therapy in each case, neutrophilia and localizing signs developed. It is stressed that a normal white cell count and an innocent appearance at the infusion site do not exclude this complication of intravenous therapy. Possible reasons for this presentation for sepsis are discussed.

摘要

本文描述了4例因静脉输液感染导致菌血症的病例。尽管所有患者均有发热,但诊断时4例患者的白细胞计数均正常,且输液部位外观正常。在每例患者拔除静脉导管并开始抗生素治疗后,出现了中性粒细胞增多和定位体征。强调白细胞计数正常和输液部位外观正常并不能排除静脉治疗的这种并发症。文中讨论了这种败血症表现的可能原因。

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