新生儿败血症临床诊断的探讨(附50例分析)

对50例(其中男占72%)有细菌学证实的新生儿败血症进行了有关诊断方面的分析。发现临床症状以拒奶或纳差、哭声低微、腹胀及黄疸为明显。脐部、皮肤及粘膜为主要侵入途径。化验检查中性粒细胞计数>6×10~9/L 者占88%,血小板计数<150×10~9/L 者占79%。血培养大部分为金黄色葡萄球菌(占68%),表皮葡萄球菌感染有上升趋势(占28%),并初步提出该病的临床诊断指标。

A Study on Clinical Diagnosis of 50 Cases of Neonatal Septicemia

The diagnoses of 50 cases of neonatal septicemia bacteriologically proved are studied.The most common manifestations are anorexia,weakness of cry. distension of abdomen and jaundice.The umbilicus,skin and mucous mem- brance are the main ways of bacteria invasion.The laboratorial examination shows that the absolute neutrophil leucocyte are over 6×10~9/L,and that of thrombocyte below 150×10~9/L.In pathogenic bacteria of neonatal septicemia staphyloccoccus aureus is a common one(68%),while staphy epiderideridis infection is incresing as well.Clinical diagnosis indexes of neonatal sep- ticemia are tentatively established.