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作者在20个月内诊察了4万名患儿,其中8,400名体温,≥37. 7℃,初诊时1,783例作了血培养,发现致病菌者117例(6. 5%),其中103例发生于原来健康的儿童。4种主要病原菌(肺炎球菌、流感杆菌、肠炎杆菌属及脑膜炎球菌)占85%。临床表现在不明原因的发热(以下简称不明热)或中耳炎患儿中,最多由肺炎球菌菌血症引起;而局部软组织感染(蜂窝织炎、会厌炎和脑膜炎)常由流感杆菌菌血症引起。
The authors examined 40,000 children within 20 months, of whom 8,400 were ≥37.7 ° C and 1,783 were blood cultures at the time of first visit and 117 (6.5%) were found to have pathogenic bacteria, of which 103 Cases occurred in the original healthy children. Four major pathogens (pneumococcal, influenza, enterobacter and meningococcal) accounted for 85%. Clinical manifestations of unexplained fever (hereinafter referred to as unknown heat) or otitis media in children, up to pneumococcal bacteremia; and local soft tissue infections (cellulitis, epiglottitis and meningitis) often by the flu bacilli cause.