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经周围或中心静脉输液后,可併发静脉炎是众所周知的,最常见的是单纯性血栓性静脉炎,经局部治疗可痊愈;较复杂的,常需更积极治疗;最毒性的是化脓性血栓性静脉炎,常须作静脉切除,作者曾有过非化脓血栓性静脉炎引起致命的败血症的经验,这在当今的文献中虽有叙述,但未加强调。材料与方法:作者在2年中收集了11例突起的高热、寒战,来源不明的革兰氏阴性菌败血症者,10例的血培养阳性,由于起初不能查到细菌的来源,给了大量广谱抗菌素,但未能治愈。作者列举1例腹股沟疝修补后发生革兰氏阴性菌败血症者,血培养阳性,尿和气管吸取物培养及其它检查均属阴性,切除在临床认为与败血症无关的、患有轻度静脉炎的周围静脉24小时后,发热消退,经培养发现其致病菌与血培养的细菌相同。此11例最后均被诊断为血栓性静脉炎,其中7例用的是19号金属针,4例用的是18号Teflon
After the peripheral or central venous infusion, can be complicated by phlebitis is well known, the most common is simple thrombophlebitis, local treatment can be cured; more complex and often require more aggressive treatment; the most toxic is purulent Thrombophlebitis, often referred to as phlebotomy, has been the author’s experience of fatal septicemia caused by non-septic thrombophlebitis, although it is described in today’s literature but not highlighted. MATERIALS AND METHODS: The authors collected eleven cases of fever, chills and unidentified Gram-negative sepsis in two years and 10 cases of positive blood cultures. Since initially no evidence of bacterial origin was found, Spectrum antibiotics, but failed to cure. The authors cited a case of inguinal hernia repair Gram-negative sepsis who positive blood culture, urine and tracheal aspirate culture and other tests are negative, resection of the clinical sepsis unrelated, with mild phlebitis 24 hours after the peripheral veins, fever subsided, found by the culture of bacteria and blood culture of the same bacteria. The final 11 cases were diagnosed as thrombophlebitis, of which 7 cases were used on the 19th metal needle, 4 cases were used on the 18th Teflon