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[1983年至1987年在巴亚马雷妇产医院新生儿病房出现的母婴传播新生儿感染性细菌综合征的临床表现形式及所采用的治疗方法]

[The forms of the clinical manifestation of a neonatal infectious bacterial syndrome with maternofetal transmission and the therapy used in the Neonatal Ward of the Baia Mare Maternity Hospital in 1983-1987].

作者信息

Pohl A, Radu I, Mesaroş M, Surianu E, Bancoş T, Fîrtea D

机构信息

Secţia de nou-născuţi a Spitalului Judeţean Baia Mare.

出版信息

Rev Pediatr Obstet Ginecol Pediatr. 1990 Jan-Mar;39(1):79-84.

PMID:2128719
Abstract

Of a total of 24 newborn with neonatal bacterial infectious syndrome (NBIS), in 157 (65.12%) the infection appeared immediately at birth. In the rest of 84, the clinical manifestations appeared in the first 4 days of life followed in decreasing order by systemic manifestation without location on pneumonia and bronchopneumonia were the most frequently diagnosed, an organ, septicemias and meningitis, infectious jaundice, etc. Two antibiotics were associated in the severe forms, and antiinfectious monotherapy was used in the milder ones. In the cases with unfavourable clinical evolution, the antiinfectious treatment was used. The severe forms of NBIS were among the most cases of death at this age. NBIS manifested, therefore, under various forms, imitating other noninfectious affections. During diagnosis, mother's anamnestic data, and very often the clinician's intuition were very important, before the bacteriologic corroboration.

摘要

在总共24例新生儿细菌性感染综合征(NBIS)患儿中,157例(65.12%)在出生时即出现感染。其余84例中,临床表现出现在出生后的前4天,按发生率递减顺序依次为无定位的全身表现、肺炎和支气管肺炎最为常见、器官感染、败血症和脑膜炎、感染性黄疸等。重症病例联合使用两种抗生素,轻症病例采用抗感染单一疗法。对于临床病情进展不利的病例,采用抗感染治疗。NBIS的重症形式是该年龄段死亡的主要原因之一。因此,NBIS以多种形式表现出来,易与其他非感染性疾病相混淆。在诊断过程中,在细菌学确诊之前,母亲的既往病史资料,以及临床医生的直觉往往非常重要。

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