新生儿肺炎191例诊治分析

目的 观察新生儿肺炎临床的早期特征,探讨早期诊断和治疗.方法 对2006年1月～2007年2月住院的191例新生儿肺炎临床资料进行回顾分析.结果 191例中症状典型72例,占37.7%,不典型患儿119例,占62.3%.动态观察中有肺部哕音72例,占37.7%,胸片提示肺炎35例,占18.3%,发热者19例,占9.9%,咳嗽者例104,占54.5%,气促23例,占12.0%,转院15例,占7.8%.无死亡.结论 新生儿肺炎早期症状中咳嗽对诊断有重要参考价值,是新生儿肺炎的特点.改善新生儿肺炎的预后关键是早期诊断和治疗.

Analysis on the diagnosis and theraphyof neonatal pneumonia

Objective To investigate the early clinical characteristic of neonatal peneumonia,and its early diagnosis and therapy. Methods Clinical data were analyzed retrospectively in 191 children with nenonatal peneumonia. Results Among 191 cases,72 cases were typical(37.7%);119 cases were atypical (37.7%);35 cases showed pneumonia by sternum(18.3%);19cases with fever(9.9%);104 cases with cough(54.5%);23cases with polypnes(12.0%);15 eases were transported to higher level hospital (7.8%);no death case. Conclusion Cough is an imporeant value to diagnosis in early clinical sympthon with neonatal pneumonia,and a characteristic in neonatal pneumonia. To improve the prognsis with neonatal pneumonia is early diagnosis and therapy.