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109例新生儿肺炎鼻咽拭培养沙眼衣原体22.9％(25/109例)阳性。与国外报道有3点不同:(1)称“无热肺炎”欠妥。因本组44％患儿仍偶有低热;(2)患儿嗜酸性细胞计数均未增高(66-198×lO~6/L);(3)63名患儿自身配对取鼻咽拭与鼻咽部抽吸物培养。前者18.2％阳性高于后者(15.8％)。我们认为任何新生儿肺炎体温<38℃·病程>1周,用青霉素族、氮基糖甙类、头孢菌素等无效时应考虑本症,可用红霉素50mg/kg·d治疗14天。
109 cases of neonatal pneumonia nasopharyngeal swab culture of C. trachomatis 22.9% (25/109 cases) were positive. 3 points with foreign reports are different: (1) said “no hot pneumonia” defective. Because of 44% of children in this group are still occasional fever; (2) children with eosinophil count were not increased (66-198 × lO ~ 6 / L); (3) 63 children with their own nasopharyngeal swab and Nasopharyngeal aspirate culture. The former 18.2% positive than the latter (15.8%). We think any newborn pneumonia temperature <38 ℃ · course of disease> 1 week, with penicillin family, nitrogen glycosides, cephalosporins and other ineffective should consider this disease, available erythromycin 50mg / kg · d for 14 days.