我院1983年6月至1985年12月住院新生儿病例中具有“四不”(不吃、不哭、不动、体温不升)及口吐白沫和/或青紫症状,且诊断明确者共39例,本文通过对此二症状在常见新生儿疾病中出现频率进行比较(见附表)。为正确认识该组症状提供依据。一般认为口吐白沫和青紫,是新生儿肺炎的两个特征。因新生儿肺炎与婴幼儿支气管肺炎不同,可无呼吸道症状和肺部罗音,往往成为临床医师诊断新生儿肺炎的唯一症状和体征。但通过本监观察,发现这组症状和体征并非新生儿肺炎所特有,而在新生儿化脓性脑膜炎、颅内出血、败血症等均可出现。从附表可看出口吐白沫在肺炎出现率为38.6％,而在颅内出血时的出现率为31％。如以口 Our hospital from June 1983 to December 1985 inpatient neonates with “four not” (do not eat, do not cry, do not move, body temperature does not rise) and vomiting foaming and / or purple symptoms, and the diagnosis is clear A total of 39 cases, this article by the two symptoms in the common neonatal disease frequency comparison (see table). To provide a basis for the correct understanding of the symptoms of the group. It is generally believed that foaming and bruising are two characteristics of neonatal pneumonia. Due to neonatal pneumonia and infants with bronchial pneumonia different, no respiratory symptoms and lung rales, often become the clinicians diagnose neonatal pneumonia, the only symptoms and signs. However, through this monitoring observation, found that this group of symptoms and signs are not unique to neonatal pneumonia, but in neonatal purulent meningitis, intracranial hemorrhage, sepsis can occur. It can be seen from the schedule that foaming at the mouth is 38.6% in pneumonia and 31% in intracranial hemorrhage. Such as the mouth