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本文从32例血培养阳性的新生儿败血症的临床分析中着重提出了可能导致本病的有关菌种、感染途径、临床表现、并发症及主要治疗措施。导致本病的主要病原菌仍为金葡菌。非致病菌及条件致病菌共占25％过去常被忽视,临床上应引起注意。3天以内发病者多为宫内感染。生后感染占75％,以脐部与皮肤为主要感染途径。临床表现主要仍为发热、吃奶少、反应低下等非特异表现。并发高胆红素血症多见,其次为肺炎及硬肿症。治疗上宜以二种抗生素联合使用。本病只要能做到早期诊断、早期治疗,预后是良好的。
In this paper, 32 cases of blood culture-positive neonatal sepsis clinical analysis highlights the possible causes of the disease-related bacteria, infection, clinical manifestations, complications and the main treatment. Lead to the main pathogen of the disease is still Staphylococcus aureus. A total of 25% of non-pathogenic bacteria and opportunistic pathogens have been neglected in the past and should be brought to the attention clinically. Less than 3 days were mostly intrauterine infection. Post-natal infection accounted for 75% of umbilical and skin as the main route of infection. Clinical manifestations are still mainly fever, less milk, low response and other non-specific performance. Complications of hyperbilirubinemia more common, followed by pneumonia and scleredema. Treatment should be combined with two antibiotics. The disease can be done as long as the early diagnosis, early treatment, the prognosis is good.