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目的:探讨新生儿早期大便中见有孤立性脓血便的临床意义。方法:42例在早期大便中见有孤立性脓血便的新生儿,从大便细菌培养,分娩方式,宫内窘迫或新生儿窒息,转归等方面进行对比分析。结果:大便培养均无致病菌生长。发病与分娩方式,宫内窘迫或新生儿窒息均无显著相关。全部病例自出生第4天后自愈。结论:以新生儿一过性孤立性脓血便作为最后诊断,预后良好。对此现象,医护人员及家长应冷静分析,避免过度治疗。
Objective: To investigate the clinical significance of isolated pus and blood stool in the early stage of neonatal stool. Methods: Forty-two neonates with isolated pus and blood stools in early stools were compared and analyzed in terms of stool bacterial culture, mode of delivery, intrauterine distress or neonatal asphyxia and prognosis. Results: There was no pathogen growth in stool culture. The incidence and mode of delivery, intrauterine distress or neonatal asphyxia were not significantly correlated. All cases self-healing after 4 days. Conclusion: The neonatal transient isolated pus and blood as the final diagnosis, the prognosis is good. This phenomenon, health care workers and parents should be calm analysis, to avoid over-treatment.