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本文通过36例经血培养证实的儿童金葡败血症,总结西宁地区金葡败血症临床特点是:①外伤、感染是儿童金葡败血症的主要诱因;②高热伴感染性休克是起病的重要形式;③骨关节疼痛是早期诊断的主要依据;④猩红热样皮疹具有特征性是早期诊断和鉴别诊断的线索。抢救监护时,除选用得力抗生素控制感染,清除病灶外,积极改善微循环,合理扩容纠酸是抢救的首要措施。保证有效通气,高浓度给氧是防止多脏器功能衰竭的重要措施,DIC是导致病情加重,休克难治的重要因素,早期诊治对改善休克,防止多脏器功能衰竭降低病死率具有重要意义。
In this paper, 36 cases of children with Staphylococcus aureus sequelae confirmed by blood culture were summarized. The clinical features of Staphylococcus aureus in Xining were summarized as follows: ①trauma and infection were the main causes of children with Staphyloccocus; ② fever with septic shock was an important form of onset; ③ Bone and joint pain is the main basis for early diagnosis; ④ scarlet fever-like rash is characterized by early diagnosis and differential diagnosis of clues. Rescue guardianship, in addition to effective use of antibiotics to control infection, clear the lesions, and actively improve the microcirculation, rational expansion of acid correction is the first measure of rescue. To ensure effective ventilation, high concentration of oxygen is an important measure to prevent multiple organ failure, DIC is leading to aggravate the disease, an important factor in refractory to shock, early diagnosis and treatment to improve shock and prevent multiple organ failure reduce mortality is of great significance .