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1980～1990年我们收治经血培养(包括普通培养和L型细菌培养)证实的新生儿败血症161例,现报告并讨论如下: 临床资料一、一般资料本组男121例,女40例。年龄:～7天51例,～28天110例。早产儿35例,足月儿126例。来自农村129例,城市32例。二、临床表现 1.原发病:母体羊膜早破21例,羊水污染14例;皮肤粘膜感染76例(其中脐炎16例,挑“马牙”60例);呼吸道感染21例,肠炎20例,中耳炎2例。 2.症状和体征:发热157例,体温不升4例。拒乳112例、呕吐10例、腹泻20例。抽搐18例。口吐白沫21例。不哭、反应差68例,皮肤黄染73例,硬肿12例。脐轮红肿16例,肝脏肿大12例。 3.并发症:新生儿肺炎17例,病理性黄疸
From 1980 to 1990, we admitted 161 cases of neonatal sepsis confirmed by menstrual blood culture (including ordinary culture and L-type bacterial culture), which are reported and discussed as follows: Clinical data First, the general information The group of 121 males and 40 females. Age: 51 cases ~ 7 days, 110 cases ~ 28 days. 35 cases of premature children, 126 full-term children. From rural areas 129 cases, 32 cities. Second, the clinical manifestations 1. Primary disease: premature rupture of amniotic membrane in 21 cases, amniotic fluid contamination in 14 cases; skin and mucosal infection in 76 cases (of which 16 cases of omphalitis, pick “horse teeth” 60 cases); respiratory tract infection in 21 cases, enteritis 20 For example, otitis media in 2 cases. 2. Symptoms and signs: 157 cases of fever, body temperature does not rise in 4 cases. Breast milk 112 cases, vomiting in 10 cases, 20 cases of diarrhea. Twitch in 18 cases. Foaming at the mouth in 21 cases. No cry, poor response 68 cases, skin yellow dye 73 cases, 12 cases of sclerosis. 16 cases of umbilical redness, enlargement of the liver in 12 cases. 3. Complications: 17 cases of neonatal pneumonia, pathological jaundice