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由于新生儿泌尿道特殊的生理解剖特点,由上行感染引起的尿路感染(UTI)并不少见.导致上行感染的途径多种多样,为了证实脐部至泌尿道感染途径的存在,本文对43例已确诊为脐炎的新生儿进行细菌培养,以探讨新生儿尿路感染与脐炎之间的关系,并提出合理的防治措施.1 对象与方法1.1 对象 为1993年3月～1994年3月在我科住院的足月新生儿,均用脐线结扎脐带,入院前均未使用过抗生素,血细菌培养阴性.分为脐炎组和非脐炎组.1,1.1 脐炎组43例.诊断标准;脐部红肿,有脓性分泌物,培养有细菌生长.其中合并ABO溶血病6例,缺氧、缺血性脑病4例,G-6-PD缺陷症3例和胎粪吸入综合征2例.
Urinary tract infections (UTIs) caused by ascending infection are not uncommon due to the special physiologic anatomy of the urinary tract of newborns. There are a variety of ways leading to ascending infection, and in order to confirm the existence of umbilical to urinary tract infection, Cases have been diagnosed as omphalitis in neonatal bacterial culture to explore the relationship between neonatal urinary tract infection and omphalitis and put forward reasonable prevention and treatment measures.1 objects and methods 1.1 object for the March 1993 to 1994 3 Months in our hospital full-term newborns, were umbilical cord ligation, have not been used before admission antibiotics, blood culture negative bacteria. Divided into omphalitis and non-omphalitis group .1,1.1 omphalitis group of 43 cases Diagnostic criteria; umbilical inflamed, purulent secretions, bacterial growth in culture, including 6 cases of combined ABO hemolytic disease, hypoxia, ischemic encephalopathy in 4 cases, G-6-PD deficiency in 3 cases and meconium aspiration Syndrome in 2 cases.