肺炎克雷伯氏菌(肺炎杆菌)为医院内感染的一种重要病原菌,但引起败血症的临床报道不多,现将我们所见的1例报道如下。男,80岁,因寒战、发热4小时于1989年12月30日入院。病人患前列腺肥大伴前列腺炎多年。入院前一周感解小便困难,伴尿道灼热感。入院前二天轻度畏寒、头痛、发热、伴咽喉部干痛不适。自服螺旋霉素、复方扑尔敏等药物无效。入院前4小时突然寒战、高热、头痛伴恶心呕吐。发病来微咳,痰少,否认慢支炎史。查体:T38.5℃,P108次/min,R24次/min,BP22/11kP_a,急性病容,颜面四肢潮红,精神萎靡,无皮疹及出血点,咽部充血,心肺(—),腹平软,肝脾未 Klebsiella pneumoniae (Klebsiella pneumoniae) is an important pathogen of nosocomial infection, but few clinical reports of sepsis. We report the following one case. Male, 80 years old, admitted to hospital on December 30, 1989 due to chills and fever for 4 hours. Prostatitis patients with prostatitis for many years. One week prior to admission, he had difficulty urinating with urinary burning sensation. Two days before admission, mild chills, headache, fever, throat pain and discomfort. Self-serving spiramycin, compound chlorpheniramine and other drugs is invalid. 4 hours before admission suddenly chills, fever, headache with nausea and vomiting. The incidence of cough, sputum less, denied the history of chronic bronchitis. Examination: T38.5 ℃, P108 times / min, R24 times / min, BP22 / 11kP_a, acute disease, facial flushing, apathetic, no rash and bleeding points, throat congestion, Liver and spleen not