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目的探讨母产前发热与早期新生儿败血症之间的关系,以降低围产儿死亡率。方法采用回顾性分析方法,对有母产前发热的新生儿103例与无产前发热的新生儿311例临床资料进行对比分析,同时分析103例有产前发热的新生儿的有关因素。结果母产前发热组较无母产前发热组在早期新生儿败血症发生率方面有极显著的差异(4.9%和0.3%,P<0.01),母产前发热≥39℃,产后连续发热数天提示新生儿发生宫内感染性败血症的可能性较高。结论对于母亲产前高热、产后又继续发热的新生儿,要注意作好母宫腔分泌物培养及新生儿血培养,完善实验室检查,密切观察临床表现,必要时予抗生素应用,积极治疗,降低围产儿死亡率。
Objective To explore the relationship between pre-natal fever and early neonatal sepsis to reduce perinatal mortality. Methods A retrospective analysis was conducted to compare the clinical data of 103 newborns with preterm febrile febrile neonate with 311 prenatal febrile neonate and to analyze the related factors of 103 prenatal febrile neonate. Results There was a significant difference (P <0.01) in the incidence of early neonatal sepsis between pre-natal fever group and pre-natal fever group, pre-natal fever≥39 ℃, postpartum continuous fever number The day prompted neonatal intrauterine infection septicemia is more likely. Conclusions For mothers with prenatal fever and postpartum fever, newborns should pay attention to the development of female uterine secretion and neonatal blood culture, improve laboratory tests, closely observe the clinical manifestations, apply antibiotics when necessary, treat patients actively, Reduce perinatal mortality.