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重症细菌感染时,尽管感染部位各异,革兰氏阳性或阴性之球菌或杆菌均可导致黄疸的发生。国内文献曾提及败血症伴有黄疸的表现,现报告6例如下: 例1:男,21岁。1979年1月10日恶寒、轻咳、右上腹隐痛,以发热待查收住院。检查:T40.1℃,右侧上胸部叩诊稍发浊、语颤增强。12日咳嗽加剧。白细胞25500,中性87%。血沉40mm/1h。X线胸片示右上肺大叶性肺炎。痰培养有肺炎双球菌生长。予青、庆大霉素。14日巩膜黄染。血清总胆红素及1分钟胆红素分别为3.5～5.2、3～4.8mg/dl,SGPT44～85u,AKP23u,胆固醇145mg/dl,HBsAg阴性。肝肋缘
Severe bacterial infection, despite the different parts of the infection, Gram-positive or negative cocci or bacteria can lead to the occurrence of jaundice. Domestic literature has mentioned the performance of sepsis associated with jaundice, 6 cases are reported as follows: Example 1: Male, 21 years old. January 10, 1979 aversion to cold, light cough, pain in the right upper quadrant, fever to be admitted to hospital. Check: T40.1 ℃, the right upper chest percussion slightly turbid language, tremor increased. Cough increased on the 12th. WBC 25500, neutral 87%. ESR 40mm / 1h. X-ray showed right upper lobe pneumonia. Sputum culture with Streptococcus pneumoniae growth. To the green, gentamicin. Sclera on the 14th yellow dye. Serum total bilirubin and 1 minute bilirubin were 3.5 ~ 5.2,3 ~ 4.8mg / dl, SGPT44 ~ 85u, AKP23u, cholesterol 145mg / dl, HBsAg-negative. Liver margin