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表皮葡萄球菌引起新生儿剥脱性皮炎较少见,我科于1992年上半年治疗2例,现报告如下: 例1 周患之女,9天,G_1P_1孕40w~(+4),剖腹产,出生体重3600g Apgar评分10分。 T36℃,哭声响,反应好,皮肤红润,前囟平,左手食指,中指及右手食指轻度肿胀,末节、中节皮肤,自甲沟处开始大片状剥脱,露出鲜红色的皮下组织。心肺腹部均未见异常。WBC 14.8×10~9/L,N0.61,L0.33,M0.06。患处渗出物细菌培养表皮葡萄球菌生长。青霉素肌注局部用雷夫诺尔及新洁尔灭处理,一周后,病情明显好转,预以出院。
Staphylococcus epidermidis caused neonatal exfoliative dermatitis less common in our department in the first half of 1992, the treatment of 2 cases are as follows: Cases 1 week suffering from female, 9 days, G_1P_1 pregnant 40w ~ (+4), Caesarean section, birth Weight 3600g Apgar score 10 points. T36 ℃, crying sound, the reaction is good, the skin rosy, the front bupleurum, left index finger, middle finger and right index finger mild swelling, distal, mid-section of the skin, starting from the gully at large flakes, exposing bright red subcutaneous tissue. Heart and lung abdomen were no exception. WBC 14.8 × 10 ~ 9 / L, N0.61, L0.33, M0.06. Affected area exudate bacterial culture Staphylococcus epidermidis growth. Penicillin intramuscular injection of local Levonor and Bromogeramine treatment, a week later, the condition was significantly improved, pre-discharged.