小儿急性金黄色葡萄球菌(以下简称金葡菌)性心内膜炎为一种凶险的感染性疾病,也是金葡菌败血症并发症之一,现将我科经尸解证实的2例报告如下。 例1 女,10岁,因左大腿跌伤肿痛7天,寒颤发热3天,气促、咳嗽和呼吸困难1天入院。查体:体温39℃,呼吸60次,脉搏156次,血压110/80,消瘦,精神萎靡,呼吸急促,鼻扇,三凹征(+)。皮肤、巩膜无黄染,双侧瞳孔等大,对光反射迟钝。双肺可闻散在湿啰音,心律齐,无杂音,肝脾未触及。左大腿极度肿胀,发亮、压痛,发热;无破损、无发红。实验室检查:白细胞17.4×10~9/L,中性88％,淋巴12％,血培养;金葡菌(死后报告)。左大腿x线摄片无骨折。胸片示心脏扩大、两肺散 Pediatric acute Staphylococcus aureus (hereinafter referred to as Staphylococcus aureus) endocarditis is a dangerous infectious disease, is also one of the complications of Staphylococcus aureus septicemia, now our department confirmed by autopsy in 2 cases are as follows . Example 1 Female, 10 years old, due to left thigh hurt and sore for 7 days, chills fever 3 days, shortness of breath, cough and difficulty breathing 1 day admission. Physical examination: body temperature 39 ℃, breathing 60 times, pulse 156 times, blood pressure 110/80, weight loss, apathetic, shortness of breath, nasal fan, three concave sign (+). Skin, Sclera no yellow dye, bilateral pupils and other large, slow light reflex. The lungs can be heard scattered in the wet rales, Qi Qi, no noise, liver and spleen not touched. Extreme left thigh swelling, shiny, tender, fever; no damage, no redness. Laboratory tests: white blood cells 17.4 × 10 ~ 9 / L, neutral 88%, lymph 12%, blood culture; Staphylococcus aureus (after death report). Left thigh x-ray film without fracture. Chest radiograph showed enlarged heart, lungs scattered