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題 名 | Pulmonary Cavitary Lesions in Staphylococcus Aureus Septicemia with Extrapulmonary Infectious Origin=源於非肺部感染金黃葡萄球菌菌血症之開洞性肺病變 |
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作 者 | 楊伯義; 謝文斌; 蔡熒煌; 黃崇旂; 曹昌堯; | 書刊名 | 胸腔醫學 |
卷 期 | 14:1 1999.03[民88.03] |
頁 次 | 頁8-16 |
分類號 | 415.46 |
關鍵詞 | 肺部開洞性病變; 金黃葡萄球菌菌血症; Pulmonary cavitary lesions; Staphylococcus aureus septicemia; |
語 文 | 英文(English) |
中文摘要 | 在133例非原發於肺部感染的金黃葡萄球菌菌血症的病例中,17例的 胸部X光片檢查,出現開洞性病灶,其中16例為多發性,小而圓型的開洞病灶 (直徑小於2公分),一例為單一的小型開洞病灶。8例併發肋膜積水(包括兩 例膿胸的病例),2例併發氣胸。胸部X光片出現開洞性病灶的時間,從感染發 生算起1到41天不等,但是大多數在9天內發生(17例中有14例)。具有肺部 開洞性病變的病人,死亡率略高於無此病變的病人(35%對28%),但是此一差 異並無統計學上的意義。11例具有肺部開洞性病變而且存活病人中,8例接受全 程的胸部X光追蹤,直到完全復元為止,其肺部開洞病灶完全消失,並無殘留病 灶。病灶完全消退所需的時間,為接受治療後19天至46天,(平均=34±10.2 天,中間值=35天)。結論:(1)在非原發於肺感染的金黃葡萄球菌菌血症中,肺 部開洞性病變並非不常見;(2)肺部具有開洞性病灶的病人,若能存活於菌血症, 其肺部的病變可以完全康復;(3)肺部開洞性病變並非死亡的前置因子。 |
英文摘要 | In 133 episodes (131 patients) of Staphylococcus aureus (S. aureus ) septicemia not resulting from pneumonia, cavitary lesions on chest radiographs were found in 17 (13%). We found multiple, small, round cavitaries (< 2 cm in diameter) in 16 and a single small cavity in one. Pleural effusion (including two with empyema) were found in eight and pneumothorax in two patients. The abnormalities in the chest radiographs appeared from 1 to 41 days (mean+SD, 9.3+12.3; median, 4) after the onset of infection. The mortality rate was higher in patients with pulmonary cavitary lesions (PCL) (35%) than in those without PCL (28%), but the difference had no statistic significance. In eight of the 11 survivors, the chest radiographs were followed until the patient returned to normal or stationary status. The time to remission was between 19 and 46 days (mean+SD, 34.6+10.2; median, 35) after treatment. All the chest radiographic abnormalities of those eight patients returned to normal except for pleural thickening which remained in two patients with empyema. The patients with PCL were younger, more toxic received longer antibiotic chemotherapy and the septicemia was more toxic than in patients without PCL. We concluded that (1) PCL is not uncommon in S. aureus septicemia not resulting from pneumonia; (2) patients with PCL may recover completely after appropriate therapy if they recover from septicemia; and (3) PCL is not a predisposing factor to death. |
本系統中英文摘要資訊取自各篇刊載內容。