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我病区3例慢性活动性肝炎病人,因静脉输入被细菌污染的液体后引起败血症。他们皆在静滴开始后30～120分钟内骤起面色苍白、寒战、发热、精神萎靡、头晕、胸闷、气急,并伴腹绞痛,解大量糊状便。恶心,呕吐。严重者之排泄物及呕吐物呈咖啡色。患者表现四肢冷、紫绀、休克状,诉腰酸痛。继而,末梢血象白细胞总数、中性粒细胞急剧上升,有明显的肾功能损害。经抢救1例生存,2例死亡。本文讨论了早期诊断、处理、合理选用抗生素和预防方面的问题。我病区全年收治367例病毒性肝炎患者中,有3例在治疗过程中,出现输液引起的败血症。静滴液体送验均有细菌生长。其中1例血培养含同种细菌。败血症的发生致使原发病不同程度的加重。经抢救治疗,1例存活,2例死亡。
My ward 3 cases of chronic active hepatitis patients, due to intravenous infusion of bacterial contamination of the liquid caused by sepsis. All of them started pale, chills, fever, sluggishness, dizziness, chest tightness, shortness of breath, shortness of breath, and abdominal cramps within 30 to 120 minutes after starting the infusion. feel sick and vomit. In serious cases, excrement and vomit were brown. Patients showed cold limbs, cyanosis, shock-like, complaining of back pain. In turn, the peripheral blood leukocytes, neutrophils rose sharply, with significant renal impairment. One patient survived the rescue and two died. This article discusses the early diagnosis, treatment, rational use of antibiotics and prevention problems. My ward admitted 367 cases of viral hepatitis patients in the year, there are 3 cases in the course of treatment, infusion-induced sepsis. Gently drop the liquid to send the test have bacterial growth. One case of blood culture containing the same bacteria. The occurrence of sepsis causes the primary disease to varying degrees of aggravating. After rescue treatment, 1 case survived and 2 died.