论文部分内容阅读
新生儿细菌性心内膜炎(NBE)罕见,但常致命。1983年首次报告存活病例。作者为寻找早期诊治本病的临床特点,特复习过去10年诊治的5例(其中2例存活)NBE病例。病例报告:男800g,妊娠26周。分娩前胎膜早破4天。Apgar评分:1分钟6分,5分钟9分,予气管插管呼吸机治疗。生后2天作超声心动图证明心脏正常,生后8天,发生顽固性代谢性酸中毒,血培养有抗甲氧苯青霉素金葡菌,用万古霉素治疗。生后25天,再度发生代谢性酸中毒,白细胞计
Neonatal bacterial endocarditis (NBE) rare, but often fatal. 1983 first reported cases of survival. In order to find out the clinical features of early diagnosis and treatment of this disease, we reviewed 5 cases (2 of them survived) of NBE treated in the past 10 years. Case report: male 800g, 26 weeks of pregnancy. Premature childbirth premature rupture of membranes 4 days. Apgar score: 1 minute 6 minutes, 5 minutes 9 minutes, to endotracheal intubation ventilator treatment. 2 days after birth for echocardiography to prove normal heart, 8 days after birth, intractable metabolic acidosis, blood culture with methicillin-resistant Staphylococcus aureus, with vancomycin treatment. 25 days after birth, metabolic acidosis again, white blood cell count