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武汉医学院第一附属医院婴儿室发生一次致病性大肠杆菌O_(119)B_(14)引起的暴发性新生儿腹泻,病情比国内报道的更为重笃,且3例死于急性出血性坏死性肠炎。流行情况:1985年我院婴儿室开始有个别新生儿腹泻病例,当时未予重视,用一般抗生药物治愈。同年6月至7月中旬,成批出现新生儿腹泻,先后46例发病,粪便培养证实为致病性大肠杆菌O_(119)B_(14)。立即关闭婴儿室,并彻底消毒,将15例重症病例转我院儿科传染病室,经抢救存活12例。发病机理:普遍认为与三个主要因素有关,即感染因素,选择性缺血因素,饮食因素。本组病例是在武汉地区酷暑伊始时发生的一起婴儿室暴发性流
The First Affiliated Hospital of Wuhan Medical University infant room occurred a pathogenic Escherichia coli O_ (119) B_ (14) caused by fulminant neonatal diarrhea, the condition is more serious than reported in China, and 3 patients died of acute hemorrhagic Necrotic enteritis. Epidemic situation: In 1985 our hospital baby room began to have individual cases of neonatal diarrhea, did not pay attention, with the general antibiotic cure. In the same year from June to mid-July, diarrhea occurred in batches in batches. Of the 46 cases, 46 cases were confirmed as pathogenic Escherichia coli O_ (119) B_ (14). Immediately closed the baby room and disinfected thoroughly, 15 cases of severe cases transferred to our hospital pediatric infectious disease room, survived in 12 cases. Pathogenesis: It is generally believed that with the three main factors, namely, infection, selective ischemic factors, dietary factors. This group of patients in Wuhan area at the beginning of the summer when the outbreak of a baby room with fulminant flow