摘要
本科１９９２年３月至１９９３年２月收治新生儿金黄色葡萄球菌败血症１６７例，占同期新生儿败血症（血培养阳性）之首位。感染途径为呼吸道（３７．１％）、脐部（３５．２％）及皮肤（８．３％）。新生儿金黄色葡萄球菌败血症特点：（１）感染中毒症状可以不重；（２）约半数合并肺炎（大多为轻型），脓胸、脓气胸、肺脓肿等少见；（３）猩红热样皮疹、多形性皮疹少见；（４）外周血白细胞计数以增高为主，Ｉ／Ｔ增高不多见，血小板减少多见。
Analysis of 167 cases of neonatal staphylococcus aureus septicemia admitted during March 1992 to February 1993 was reported in this paper.Staphylococcus aureus was the major pathogen(37%)of neonatal septicemia with positive blood culture during this period. The respiratory tract(37.1%),navel(35.2%)and skin(8.3%)were the main invasive routes by the bacteria. Their clinical characteristics are as follows:(1)mild toxic symptoms;(2)almost one half of the cases complicated with pneumonia, while empyema, pyopneumothorax and lung abscess are less common;(3)scarlatinoid rashes and polymorphic eruption are rare; and(4)peripheral blood examinations show leukocytosis in majority of the babies, and the rise of I/T ratio is uncommon and thrombocytopenia is seen frequently.
关键词
新生儿败血症
诊断
药物疗法
金黄色葡萄球菌
Infant,newborn,diseases
Septicemia/diag
Septicemia/drugther
Staphylococcus aureus
