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目的探讨新生儿败血症的临床特点及诊治体会,旨在提高诊治水平。方法法对我院收治的105例新生儿败血症的临床特点及诊疗等方面进行回顾性分析。结果新生儿败血症的主要临床症状为黄疸65例(61.9%),吃奶不好、吐奶18例(17.1%),腹泻13例(12.4%),发热12例(11.4%),哭闹、精神弱、思睡6例(5.7%)。主要体征为皮肤发花21例(20%),口周发绀6例(5.7%)。血培养结果中葡萄球菌102例,占97.1%,其中,表皮葡萄球菌58例,占55.24%;溶血葡萄球菌28例,占26.67%;松鼠葡萄球菌6例,占5.7%;金黄色葡萄球菌5例,占4.76%。结论新生儿败血症临床表现不典型,最主要的病原菌为葡萄球菌,以条件致病菌表皮葡萄球菌为主,治疗的关键在于早期诊断,积极处理合并症及并发症。
Objective To explore the clinical features and diagnosis and treatment of neonatal sepsis, aimed at improving the diagnosis and treatment. Method of 105 cases of neonatal sepsis admitted to our hospital clinical features and diagnosis and treatment were retrospectively analyzed. Results The main clinical symptoms of neonatal sepsis were jaundice in 65 cases (61.9%), poor feeding, 18 cases of spitting milk (17.1%), 13 cases of diarrhea (12.4%), 12 cases of fever (11.4%), Weak, think of sleep in 6 cases (5.7%). The main signs of hair loss in 21 cases (20%), perioral cyanosis in 6 cases (5.7%). Staphylococcus aureus was found in 102 cases (97.1%), of which Staphylococcus epidermidis 58 cases (55.24%), Staphylococcus haemolyticus 28 cases (26.67%), Squirrel staphylococcus 6 cases (5.7%), Staphylococcus aureus 5 Cases, accounting for 4.76%. Conclusions The clinical manifestations of neonatal septicemia are not typical. The most important pathogen is Staphylococcus aureus. The main pathogens are Staphylococcus epidermidis. The key to the treatment is early diagnosis and active treatment of complications and complications.