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本文报告1980年～1985年新生儿肺炎100例临床及X 线胸片分析。以日龄计分为早期新生儿(<7天)及晚期新生儿(8～28天)两组;以体重计分为<2500克及>2500克两组。早期新生儿及体重<2500克患儿的症状体征往往不典型;晚期新生儿以及体重>2500克而日龄超过7天以上的患儿,则症状体征渐趋明显。X 线所见支气管肺炎56例,大病灶肺炎33例,大叶或节段性肺炎3例,间质性肺炎7例。其中体征与X 线符合者55例,不符合者45例。并发症或并存症以硬肿症、消化道出血与败血症多见,多数病例表现有高血液粘滞度现象。治疗主要以青霉素和氨苄青霉素或庆大霉素联合静注。除8例自动出院外,全愈87例,死亡5例。
This article reports from 1980 to 1985 100 cases of neonatal pneumonia clinical and X-ray analysis. The patients were divided into two groups: early neonates (<7 days) and late neonates (8 ~ 28 days). The body weight was divided into two groups of <2500 g and> 2500 g. Symptoms and signs of early neonates and children with body weight <2500 g are often atypical; late neonates and children with a body weight of> 2500 g who are older than 7 days have more pronounced signs and symptoms. X-ray findings of bronchial pneumonia in 56 cases, 33 cases of major focal pneumonia, large leaf or segmental pneumonia in 3 cases, interstitial pneumonia in 7 cases. Among them, 55 cases were matched with X-ray and 45 cases were not. Complications or coexisting disease with scleredema, gastrointestinal bleeding and sepsis more common, the majority of cases showed high blood viscosity phenomenon. Treatment with penicillin and ampicillin or gentamicin intravenous injection. In addition to eight cases of spontaneous discharge, all cured 87 cases, 5 deaths.