我科1981～1984年收治小儿急性骨髓炎并败血症患者52例(血培养全部阳性),其中14例发生多脏器损害,经治疗均痊愈,现报告如下。临床资料男11例,女3例。平均年龄7岁,最大12岁,最小14个月。入院均确诊急性骨髓炎。骨髓炎发病部位:股骨8例,胫骨4例,肱骨和肩胛骨各1例。血培养均为金黄色葡萄球菌,凝固酶阳性。其中并发败血性肺炎9例,自发性气胸5例,脓胸3例,胸膜炎3例,中毒性心肌炎9例,化脓性心包炎5例,肝功能损害4例,应激性溃疡及肾功能损害各1例。同一病人有2至3种损害者12例,2例竟同时有6种损害。 Our department from 1981 to 1984 admitted to children with acute osteomyelitis and sepsis in 52 patients (all blood culture positive), of which 14 cases of multiple organ damage, after treatment were cured, are as follows. Clinical data of 11 males and 3 females. The average age of 7 years old, up to 12 years old, minimum 14 months. Admission were diagnosed with acute osteomyelitis. Osteomyelitis site: 8 cases of femur, 4 cases of tibia, humerus and scapula in 1 case. Blood cultures were Staphylococcus aureus, coagulase positive. Including 9 cases of septic pneumonia, 5 cases of spontaneous pneumothorax, empyema in 3 cases, pleurisy in 3 cases, 9 cases of toxic myocarditis, purulent pericarditis in 5 cases, liver damage in 4 cases, stress ulcer and renal dysfunction One case each. The same patient had 2 to 3 lesions in 12 cases, 2 cases actually had 6 kinds of damage at the same time.