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我院急诊科1988～1995年共收治了7例大肠埃希杆菌性败血症,其中5例死于感染性休克和急性肾功能衰竭,2例死于多脏器功能衰竭。全部病例血培养证实有大肠埃希杆菌生长。大肠埃希杆菌感染的发病率近年来在发达国家呈上升趋势,国内也有病例报道。而有关大肠埃希杆菌所致的败血症报道较少,一旦发病,病死率极高,应引起足够的重视。1 临床资料1.1 一般资料 年龄50～70岁,男5例,女2例。既往有胆囊炎病史5例,有肺气肿病史2例。症状和体征;发热?例,黄疽5例,腹泻5例,呼吸困难7例,休克7例,急性肾功能衰竭5例,
In our hospital emergency department from 1988 to 1995 were treated 7 cases of Escherichia coli septicemia, of which 5 died of septic shock and acute renal failure, 2 died of multiple organ failure. All cases of blood culture confirmed the growth of Escherichia coli. The incidence of Escherichia coli infection in developed countries in recent years is on the rise, there are also reported cases in China. The reports of sepsis caused by Escherichia coli less, once the incidence of high mortality, should cause enough attention. 1 Clinical data 1.1 General Information Age 50 to 70 years old, 5 males and 2 females. Past history of cholecystitis in 5 cases, history of emphysema in 2 cases. Symptoms and signs; fever cases, jaundice in 5 cases, 5 cases of diarrhea, 7 cases of dyspnea, shock in 7 cases, acute renal failure in 5 cases,