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本文报告白色葡萄球菌肺炎25例,均为两次以上血培养白色葡萄球菌阳性,凝固酶阴性,其临床表现与金黄色葡萄球菌肺炎有较大不同。年龄小,多为2个月以内,易发生在营养不良及其他疾病的体弱儿。病情相对较轻,起病多较缓慢,以迁延低热、不规则热、间歇热为主,热程长,X线以支气管肺炎表现为主,很少脓胸或脓气胸,未见肺大疱。合并症、病死率比金黄色葡萄球菌低。49份白色葡萄球菌株对多种抗生素耐药,以先锋霉素Ⅱ、新青霉素Ⅱ、庆大霉素较为敏感,疗程宜4～6周或以上。
This article reports 25 cases of Staphylococcus aureus pneumonia, were more than two blood cultures of Staphylococcus aureus were positive, coagulase-negative, its clinical manifestations and Staphylococcus aureus pneumonia are quite different. Young, mostly for less than 2 months, prone to malnutrition and other diseases of infants. Relatively mild disease, onset more slowly, to prolong the low fever, irregular heat, intermittent heat-based, long heat, X-ray bronchopulmonary manifestations, rarely empyema or pus pneumothorax, no bullae . Complications, case fatality rate is lower than Staphylococcus aureus. 49 strains of Staphylococcus aureus resistant to a variety of antibiotics, with cephalosporins Ⅱ, penicillin Ⅱ, gentamicin more sensitive to treatment should be 4 to 6 weeks or more.