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新生儿败血症并发脓气胸,虽不多见,但易误诊。本文报告5例并分析讨论诊疗体会。临床资料本组患儿除1例系过期产儿生后2小时诊断为胎粪吸入综合征(MAS)外,其余4例发病时间在生后5～26天,5例均以发热、咳嗽、气促为主诉症状。病程3～20天不等。入院前诊断为上感或肺炎。血、脓液及分泌物培养结果金黄色葡葡球菌(金葡萄)4例,大肠杆菌1例。其中2例由挑板牙后感染所致,2例有脓疱疹或脐部化脓感染史。全部病例均用2种以上抗生素(青霉素及氨苄青霉素、先锋霉素Ⅱ、利福平等),激素及支持疗法等。治愈3例均采用有效的胸腔闭式引流,而未用胸腔闭式引
Neonatal sepsis complicated with pus pneumothorax, although rare, but easily misdiagnosed. This article reports 5 cases and analyzes the diagnosis and treatment experience. Clinical data The group of children in addition to a case of obsolete children 2 hours after birth diagnosed as meconium aspiration syndrome (MAS), the remaining 4 cases onset 5 to 26 days after birth, 5 cases were fever, cough, gas Promote the main complaint symptoms. Duration of 3 to 20 days. Pre-hospital diagnosis of flu or pneumonia. Blood, Pus and secretions Culture Results Staphylococcus aureus (gold grape) in 4 cases, Escherichia coli in 1 case. Two of them were caused by back-to-back infection, and two had impetigo or umbilical septic infection. All cases were used more than two kinds of antibiotics (penicillin and ampicillin, cephamycin Ⅱ, rifampicin, etc.), hormones and supportive therapy. Three cases were cured with effective closed thoracic drainage, but not with thoracic closure type cited