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近年来,葡萄球菌肺炎发病有明显增加,经过严重,死亡率高。本文报告46例,其中肺浸润型18例,肺破坏型28例(脓肿型18例,肺—胸膜型8例、肺大疱2例)。侵犯一侧和两侧的例数相同。授润型者,主要是咳嗽、咳粘液脓性痰、无力、呼吸困难、发热(体温38℃或以上),白细胞增加一般不超过13,000/mm~3。破坏型者,主要表现是毒血症、明显虚弱、头痛、咳嗽、脓性痰600～1,000ml/日。静息时呼吸困难,发热(体温多超过38℃),白细胞数14,000～19,000/mm~3。痰和支气管冲洗物检菌(培养),葡萄球菌占48％,有23％为混合细菌感染(葡萄球菌,链球菌)。肺—胸膜型有明显的通气障碍。
In recent years, the incidence of staphylococcal pneumonia increased significantly, after severe, high mortality. This article reports 46 cases, including 18 cases of pulmonary infiltrates, 28 cases of lung destruction (abscess in 18 cases, lung - pleura in 8 cases, 2 cases of bullae). The number of violations on one side and on both sides is the same. Run-type who are mainly cough, cough, purulent mucus cough, weakness, difficulty breathing, fever (body temperature 38 ℃ or above), leukocytosis generally does not exceed 13,000 / mm ~ 3. Destructive, the main performance is toxemia, obviously weak, headache, cough, purulent phlegm 600 ~ 1,000ml / day. Breathing at rest, fever (body temperature more than 38 ℃), the number of white blood cells 14,000 ~ 19,000 / mm ~ 3. Phlegm and bronchoalveolar sepsis (culture), staphylococcus accounted for 48%, 23% of mixed bacterial infections (staphylococcus, streptococcus). Lung - pleura type obvious ventilation barrier.