摘要
新生儿败血症是指出生后28天以内有临床症状、血培养阳性的全身性疾病。我科从1977年2月至1981年2月,共收治新生儿患者464例,临床诊断败血症82例,占同时期新生儿住院总数的17.6％。其中血培养阳性54例,现结合文献报导分析如下:
Fifty-four newborn babies with neonatal septicemia were admitted to our hospital from Feb., 1971 to Feb., 1981. Eight babies of them began to be ill within 3 days. There were 36 males and 18 females (2:1). The birth weight of 13 babies was lower than 2500 gram. 1. Germs and sources of infection: Gram-positive germs accounted for 77.7%; Gram-negative germs, 12.3%. The focuses of infection could be often found on the umbilical area, skin or mucous membranes. 2. Clinical manifestations: 18 cases had normal temperature; 12 cases hypothermia; 16 cases low-degree fever; 6 cases moderate fever; 2 cases high fever. The types of fever mostly were irregular or remittent, 59.3% of the cases had jaundice. Other manifestations, such as poor appetite, unwillingness to nipple feed, pale complexion, abdominal inflation and hepatosplenomegaly, were seen. The WBC counts in 34 cases were lower than 5000/mm^3 or higher than 20000/mm^3. 3. Treatment and prognosis, penicillin combined with aminoglycosides was usually given for controlling the infections. 38 cases were cured (70.4%); 11 eases improved (20.7%); 5 cases died(9.3%).
出处
《武汉大学学报（医学版）》
CAS
1984年第1期20-23,共4页
Medical Journal of Wuhan University
