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[特发性呼吸窘迫、B 族链球菌引起的新生儿败血症与其他病原体引起的败血症之间的临床鉴别(作者译)]

[Clinical differentiation between idiopathic respiratory distress, neonatal septicemia caused by group B streptococci and septicemia caused by other pathogens (author's transl)].

作者信息

Roos R, Hannemann D, Belohradsky B H

出版信息

Infection. 1980;8 Suppl 3:321-6. doi: 10.1007/BF01639604.

DOI:10.1007/BF01639604
PMID:6773886
Abstract

Since bacterial infection in newborns must be treated as specifically and as early as possible, it is important to confirm a diagnosis of suspected infection based on clinical symptoms and to take possible pathogens into consideration when choosing therapy. RDS and septicemia with Group B streptococci can present very similar clinical symptoms, but leucopenia on the first day of life is most probably an indication of septicemia with Group B streptococci. Septicemia caused by other pathogens, however, usually has a much later onset. In the days following birth a raised cardiothoracic index indicates RDS. Other differential criteria are being investigated.

摘要

由于新生儿细菌感染必须尽早进行针对性治疗,因此基于临床症状确诊疑似感染并在选择治疗方法时考虑可能的病原体非常重要。呼吸窘迫综合征(RDS)和B族链球菌败血症可能表现出非常相似的临床症状,但出生第一天出现白细胞减少很可能是B族链球菌败血症的迹象。然而,由其他病原体引起的败血症通常发病要晚得多。出生后的几天内,心胸指数升高表明患有呼吸窘迫综合征。其他鉴别标准正在研究中。

相似文献

1
[Clinical differentiation between idiopathic respiratory distress, neonatal septicemia caused by group B streptococci and septicemia caused by other pathogens (author's transl)].[特发性呼吸窘迫、B 族链球菌引起的新生儿败血症与其他病原体引起的败血症之间的临床鉴别(作者译)]
Infection. 1980;8 Suppl 3:321-6. doi: 10.1007/BF01639604.
2
[Group B streptococci: the most common cause of neonatal septicemia (author's transl)].B族链球菌:新生儿败血症最常见的病因(作者译)
Monatsschr Kinderheilkd (1902). 1979 Dec;127(12):720-3.
3
Radiographic findings in early onset neonatal group b streptococcal septicemia.早发型新生儿B族链球菌败血症的影像学表现
Pediatrics. 1977 Jun;59 Suppl(6 Pt 2):1006-11.
4
[Septicemia in pediatric surgery. Disposition, causes and clinical picture (author's transl)].小儿外科中的败血症。处理、病因及临床表现(作者译)
MMW Munch Med Wochenschr. 1974 Jun 14;116(24):1225-30.
5
[Group B streptococcus infections during the neonatal period (author's transl)].新生儿期B族链球菌感染(作者译)
Monatsschr Kinderheilkd (1902). 1978 Sep;126(9):540-8.
6
[Radiologic findings in newborns with group B streptococcal septicemia: clinical importance of heart size and lung manifestations (author's transl)].B族链球菌败血症新生儿的放射学表现:心脏大小和肺部表现的临床重要性(作者译)
Klin Padiatr. 1979 May;191(3):305-10.
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Changing pattern of neonatal streptococcal septicemia.新生儿链球菌败血症模式的变化
Pediatr Infect Dis. 1985 Jan-Feb;4(1):56-8. doi: 10.1097/00006454-198501000-00014.
8
[Neonatal septicemia caused by Listeria monocytogenes: report of 6 cases].[单核细胞增生李斯特菌引起的新生儿败血症:6例报告]
Zhonghua Er Ke Za Zhi. 2008 Jan;46(1):22-5.
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The gastric-aspirate shake test and group B streptococcal disease.胃抽吸物振荡试验与B族链球菌病
N Engl J Med. 1978 May 25;298(21):1200. doi: 10.1056/NEJM197805252982115.
10
Editorial: The perinatal group B streptococcal problem: more questions than answers.社论:围产期B族链球菌问题:问题多于答案。
N Engl J Med. 1976 Jan 8;294(2):106-7. doi: 10.1056/NEJM197601082940209.

本文引用的文献

1
SEX DIFFERENCES IN SUSCEPTIBILITY TO INFECTIONS.感染易感性中的性别差异。
Pediatrics. 1965 Jan;35:57-64.
2
Neonatal mortality, the male disadvantage.新生儿死亡率,男性的劣势。
Pediatrics. 1971 Dec;48(6):902-6.
3
Acceleration of fetal lung maturation following prolonged rupture of the membranes.胎膜早破后胎儿肺成熟加速。
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4
A comparison of early-onset group B streptococcal neonatal infection and the respiratory-distress syndrome of the newborn.早发型B族链球菌新生儿感染与新生儿呼吸窘迫综合征的比较。
N Engl J Med. 1976 Jan 8;294(2):65-70. doi: 10.1056/NEJM197601082940201.
5
The neonatal blood count in health and disease. I. Reference values for neutrophilic cells.健康与疾病状态下的新生儿血细胞计数。I. 中性粒细胞的参考值
J Pediatr. 1979 Jul;95(1):89-98. doi: 10.1016/s0022-3476(79)80096-7.
6
[Group B streptococci: the most common cause of neonatal septicemia (author's transl)].B族链球菌:新生儿败血症最常见的病因(作者译)
Monatsschr Kinderheilkd (1902). 1979 Dec;127(12):720-3.
7
Group B beta hemolytic streptococcal sepsis and the idiopathic respiratory distress syndrome: a comparison.B族β溶血性链球菌败血症与特发性呼吸窘迫综合征:一项比较研究。
J Pediatr. 1979 Mar;94(3):467-71. doi: 10.1016/s0022-3476(79)80603-4.
8
[Group B streptococcus infections during the neonatal period (author's transl)].新生儿期B族链球菌感染(作者译)
Monatsschr Kinderheilkd (1902). 1978 Sep;126(9):540-8.
9
Early neonatal bacteraemia. Comparison of group B streptococcal, other Gram-positive and Gram-negative infections.早期新生儿菌血症。B族链球菌、其他革兰氏阳性菌和革兰氏阴性菌感染的比较。
Arch Dis Child. 1977 Sep;52(9):683-6. doi: 10.1136/adc.52.9.683.
10
[Radiologic findings in newborns with group B streptococcal septicemia: clinical importance of heart size and lung manifestations (author's transl)].B族链球菌败血症新生儿的放射学表现:心脏大小和肺部表现的临床重要性(作者译)
Klin Padiatr. 1979 May;191(3):305-10.