李斯特菌败血症患儿临床观察与护理

目的了解22例李斯特菌败血症患儿临床特点,探讨疾病的护理体会。方法对22例李斯特菌败血症患儿临床资料及护理经验进行回顾性分析。结果 22例患儿在出生后0.5h~5d发病,低体重儿13例。患儿住院2~77d,治愈出院10例,病情好转家属签字出院7例,死亡5例,均为极低体重儿,死亡原因为脑膜炎和败血症。结论及时准确地留取标本送检,严密的病情观察,注重患儿喂养,实施发育支持护理对提高疾病治愈率具有重要意义。

Clinical observation and nursing of neonates with Listeria sepsis

Objective To study the clinical characteristics of neonates with Listeriosis sepsis and explore the nursing experience. Methods The clinical data of 22 cases with neonatal Listeriosis sepsis were retrospectively analyzed. Results Twenty-two neonates developed Listeria monoeytogenes sepsis 0.5 h - 5 d after birth with 13 cases of low birth weight. The stay was 2-77 d, 10 were discharged after recovery, 7 were discharged after signature of their families due to improvements and 5 died of meningitis and septicemia. Conclusion Timely and accurate collection of samples should be done for laboratory examinations. Close observation of the diseases, attaching importance to infant feeding and implementation of infant developmental nursing are all critical for the improvement of cure rate.