沙門氏桿菌病之臨床觀察與分析

Clinical Analysis of Salmonellosis in Children

江宗明(Tung-Ming Jhon) ； 陳明珠(Ming-Ju Chen) ； 王貴譽(Kuei-Yu Wang)

《Acta Paediatrica Sinica》 24卷3期 (1983/09) Pp. 159-163

摘要

本文根據民國70年1月至72年3月間，於中國醫藥學院附設醫院小兒科之住院及門診病童，由糞便中培養出41件沙門氏腸炎桿菌的病例分析。41例中，24例爲男孩，17例爲女孩。病童年齡分佈由1個月到10歲，5歲以上祇有1例，其中小於1歲佔36例(87.8%)。本症臨床主要表徵以水瀉最多41例(100%)，腹瀉一天超過10次者有3例(7.3%)，其次爲發燒39例(95.1%)，血便21例(51.2%)。13例(31.7%)疑有敗血症。其中8例年齡較小，在3個月以下。脫水呈嚴重程度(10～15%)者有4例(9.7%)。呈營養不良，發育遲緩者有5例(12.1%)。疑有敗血症之病例，除了做血液培養外，另作脊髓液檢查及培養。所做的培養都未發現本菌繁殖。

並列摘要

Forty-one cased of salmonellosis were analyzed. They visited our out-patient department or admitted to the ward of Pediatric Department of China Medical College Hospital, from January, 1981 to March, 1983. Twenty-four were male and 17 were female. The age of the patients ranged from one month to 10 years. Thirty-six cases were under one-year of age (87.8%) and only one case was more than 5 years of age. All salmonellas were isolated from the stool. The major clinical manifestations were diarrhea (100%), fever (95.1%) and bloody stool (51.2%). Thirteen cases had malnutrition and growth retardation. Cultures of the blood and cerebrospinal fluid were negative in selected cases. Strains of the isolates (73.1%) were identified as Group C, 9 strains (21.9%) as Group B and only 2 strains as Group D. Follow-up stool culture two months after treatment in 9 cases revealed positive culture in 6 cased. Before the illness, 35 of the patients were fed with cow's milk and six were fed with breast milk. The mean leucocyte count of peripheral blood was 7,500±16,800/cμmm^3 (ranging from 5,400 to 56,200). Polymorphonuclear cells with occasional red blood cells were found in all stool smears.

並列關鍵字

salmonellosis ； gastroenteritis