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目的:了解新生儿衣原体肺炎的发病特点,提高其诊断与治疗水平。方法:采用前瞻性研究方法对台州恩泽医疗集团路桥医院救治的26例新生儿肺炎衣原体肺炎病例进行临床分析。结果:本组26例新生儿衣原体肺炎,起病较缓,半数有结膜炎,先有鼻塞、流涕,有低热,而后出现气促和频繁咳嗽,有的似百日咳样阵咳,偶有喘鸣表现。在对症治疗的基础上,采用大环内酯类抗生素治疗,治愈20例,6例好转。结论:总结得出新生儿衣原体肺炎近年来有增多的趋势,临床表现不典型,肺部体征较少,影像学改变明显,提示临床医师应注意新生儿衣原体肺炎在新生儿的感染,使其得到及时有效的治疗,避免延误病情。
Objective: To understand the pathogenesis of chlamydial pneumonia in neonates and to improve their diagnosis and treatment. Methods: A prospective study was conducted on 26 cases of neonatal pneumonia chlamydia pneumonia treated by Luqiao Hospital of Taizhou Enze Medical Group. Results: The group of 26 cases of chlamydia pneumonia in neonates, onset more slowly, half of conjunctivitis, first nasal congestion, runny nose, fever, and then appear shortness of breath and frequent cough, and some like pertussis-like cough, occasional asthma Ming performance. In the symptomatic treatment, based on the use of macrolide antibiotics, cured 20 cases, 6 cases improved. Conclusion: The conclusion is that the incidence of chlamydial pneumonia in neonates is increasing in recent years, the clinical manifestations are not typical, the signs of the lungs are few, the imaging changes obviously, suggesting that clinicians should pay attention to neonatal Chlamydia pneumonia infection in newborns, make it get Timely and effective treatment, to avoid delay the disease.