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新生儿肺炎是农村常见病、多发病。临床症状不典型,容易误诊,且死亡率高。现将我院儿科91年3月～92年12月共收治新 生儿肺炎52例作回顾性分析。1 临床资料1.1 一般资料 新生儿肺炎52例,其中男36例,女16例,早产儿8例,足月儿44例,发病季节以冬春季发病率高。1.2 临床表现 体温正常30例、发热17例、喂奶困难46例、咳嗽30例、口吐白泡28例、黄疽16例、呼吸增快39例、三凹征27例、紫钳29例、肺部湿罗音31例。1.3 辅助检查 未梢血白细胞总数>15×10~9/L15例,<5×10~9/L8例,在其中关的29例。血培养16例,阳性7例,其中金黄色葡萄球菌2例,表皮葡萄球菌1例,肺炎双球菌1例,大肠杆菌3例。
Neonatal pneumonia is a common disease in rural areas, frequently-occurring disease. Clinical symptoms are not typical, easy to misdiagnosis, and high mortality. Now our hospital Pediatrics in March 1991 to December 1992 were treated 52 cases of neonatal pneumonia for retrospective analysis. 1 Clinical data 1.1 General information 52 cases of neonatal pneumonia, including 36 males and 16 females, 8 cases of premature children, 44 cases of full-term children, the incidence of winter season with high incidence of spring. 1.2 Clinical manifestations Normal body temperature in 30 cases, fever in 17 cases, 46 cases of feeding difficulties, cough in 30 cases, vomiting white foam in 28 cases, jaundice in 16 cases, 39 cases of rapid respiration, 27 cases of three concave sign, Lung wet rales in 31 cases. 1.3 auxiliary examination of the total number of peripheral blood leukocytes> 15 × 10 ~ 9 / L15 cases, <5 × 10 ~ 9 / L8 cases, of which 29 cases of closure. Blood culture in 16 cases, positive in 7 cases, including Staphylococcus aureus in 2 cases, Staphylococcus epidermidis in 1 case, pneumococcus 1 case, Escherichia coli in 3 cases.