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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.

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。

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