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赖××,男性,27岁,工人,体重52公斤。因被灼热的硫酸铝液烫伤,于1978年7月3日急诊入院。烫伤总面积70%,其中Ⅲ°5%,其余均为深Ⅱ°。入院后第十天,体温波动在39℃上下,神志恍惚,说胡话,伤面有绿色分泌物渗出,分泌物细菌培养有绿脓杆菌生长,且对多粘菌素B高度敏感,诊断为绿脓杆菌败血症。7月12~16日每日用多粘菌素B200~400毫克(意大利罗马产品)加入5%葡萄糖液中,在24小时内均匀地静脉点滴,败血症症状得到控制,病情好转。创面渗出明显减少,每日的出入水量相平衡,血浆电解质尚正常。
Lai × ×, male, 27 years old, workers, weighing 52 kg. She was admitted to the emergency department on July 3, 1978 because she was scalded with hot aluminum sulphate solution. The total area of scald 70%, of which Ⅲ ° 5%, the rest are deep Ⅱ °. Ten days after admission, body temperature fluctuations at 39 ℃ up and down, mind trance, nonsense, wound exudate with green secretions, secretions bacterial culture with Pseudomonas aeruginosa growth, and polymyxin B highly sensitive diagnosis Pseudomonas aeruginosa sepsis. July 12 to 16 daily polymyxin B 200 ~ 400 mg (Rome, Italy) added 5% glucose solution, intravenously intravenously within 24 hours, sepsis symptoms are controlled, the condition improved. Significantly reduce wound exudation, daily intake and discharge of water balance, plasma electrolyte is still normal.