白葡菌败血症的临床表现复杂,容易误诊,而致严重后果.为探讨白葡菌败血症的误诊原因和吸取教训,现将所遇的4例加以分析。病历摘要例1、男,23岁,住院号110486,因乏力、厌油、纳差6天,畏寒、发热、尿黄4天入院。一周前有左足砸伤史,否认肝炎接触史及服药史。检查:体温38.5～39.1℃,血压116/66mmHg,神清,皮肤、巩膜中度黄染,心肺(-),上腹部明显压痛,肝脾未触及,肝区叩击痛,神经系(-).实验室检查:红细胞330万,白细胞6700,中性71%,血小板26.2万。胆红质12毫克%,凡登白呈双相强阳性,絮状反应阴性,谷丙转氨酶920单位,HBSAg 阴性。尿三胆阳性。入院后按重症肝 Staphylococcus aureus septicemia clinical manifestations of complex, easy to misdiagnosis, which caused serious consequences.To explore the cause of misdiagnosis and learn from the history of Staphylococcus aureus septicemia, now encountered in 4 cases were analyzed. Case history summary 1, male, 23 years old, hospital number 110486, due to fatigue, tired of oil, anorexia for 6 days, chills, fever, urine yellow 4 days admission. A week ago there was a history of left foot injury, denied history of hepatitis exposure and medication history. Check: body temperature 38.5 ~ 39.1 ℃, blood pressure 116/66 mmHg, Shen Qing, skin, sclera moderate yellow dye, cardiopulmonary (-), upper abdominal tenderness, liver and spleen not touch, liver percussion pain, Laboratory tests: 3.3 million red blood cells, 6700 white blood cells, 71% neutral, 262,000 platelets. Bilirubin 12 mg%, Vandenberg was strongly positive double phase, floc reaction negative, alanine aminotransferase 920 units, HBSAg negative. Urine three gallbladder positive. According to severe liver after admission