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本文报道1988年11月至1990年11月收治的92例新生儿葡萄球菌败血症并发肺部病变的临床分析.结果提示肺部病变是新生儿败血症的主要并发症;其症状、体征均较无并发症的新生儿败血症重;病程日长,其平均住院日前者为20.13±6.39天,后者为14.1±5.54天;病死率高,前者19.6%,后者7.1%;早期易误诊为新生儿感染性肺炎.X 线特征,初呈云絮状、颗粒状,分布广泛;金葡菌感染则可在短期内出现肺不张、肺脓疡及脓胸;在治疗过程中一方面可见浸润灶的吸收,另一方面又可见病灶融合;本组病例中未见肺气囊形成.
This article reports the clinical analysis of 92 cases of neonatal staphylococcal septicemia complicated with pulmonary lesion admitted from November 1988 to November 1990. The results suggest that pulmonary lesion is the main complication of neonatal sepsis and its symptoms and signs are not complicated Symptoms of neonatal septicemia; longer duration, the average hospital stay was 20.13 ± 6.39 days, while the latter was 14.1 ± 5.54 days; mortality was high, the former 19.6%, the latter 7.1%; early misdiagnosis of neonatal infection Pneumonia, X-ray characteristics, initially cloud-like, granular, widely distributed; Staphylococcus aureus infection can occur in a short time atelectasis, lung abscess and empyema; in the course of treatment can be seen on the infiltration of foci Absorption, on the other hand, see fusion of lesions; no pulmonary balloon formation in this group of patients.