【摘要】 本文报道糖尿病并发的败血症16例,均经血培养证实。致病菌13例为革兰阴性杆菌占81.25％,另3例分别为金黄色葡萄球菌(金葡菌)、表皮葡萄球菌与白色念珠菌。起病均急骤,伴畏寒发热,严重者有神志改变、休克、酮症酸中毒或肺与肝脏迁徒性病灶、血管栓塞性病变、多脏器功能衰竭,病情凶险。病死率高达43.75％。更多还原

【Abstract】 16 oases of diabetes complicated by septioemia are reported. Blood cultures showed Gram-negative Bacilli in 13 cases, among which were 6 cases of Klebsiella pnenmoniae, 3 cases of Escherichia coli (in one case accompanied by Candida albicans), 3 cases of enterobaoter aerogenes (one cases associated with Streptococcus faecalis); one case of enterobacter agglo merans accounting for 81.25% of the total. St a fhylococcus aureus, Staphylococcus epidermidis and Candida albioans were found in the remaining 3 oases. All the patients had acute febrile onsets associated with ehills. In severe cases there were mental derangements shook, ketosis, metastatio suppurative lesions in the liver and lungs, embolio vascular changes and multisystem organ failure.7 patients died, mortality rate, 43.5%.更多还原