新生儿先天性梅毒32例临床分析  

Clinical Analysis of 32 Cases of Neonatal Congenital Syphilis

作　　者：马骊[1] 

机构地区：[1]安徽省黄山市人民医院,安徽黄山245000

出　　处：《儿科药学杂志》2011年第4期37-39,共3页Journal of Pediatric Pharmacy

摘　　要：目的:了解新生儿先天性梅毒的临床特点,提高早期诊疗水平。方法:对2002年6月～2010年6月收治的32例新生儿先天性梅毒患儿的临床资料进行回顾性分析,总结其临床特征。结果:32例先天性梅毒患儿中有22例因母亲因素被建议入院,10例患儿因自身异常入院。无症状性先天性梅毒8例(25.0%),有症状性先天性梅毒24例(75.0%)。在腰椎穿刺成功的17例患儿中,有10例(58.8%)患有神经梅毒。30例经青霉素治疗,29例恢复正常。结论:早期先天性梅毒症状多不突出,易被漏诊,正规青霉素治疗,预后多良好。腰椎穿刺应该成为先天性梅毒的常规检查。Objective： To study the clinical characteristics of neonatal congenital syphilis and improve its early diagnosis and treatment.Methods： Clinical data of 32 cases of neonatal congenital syphilis from June 2002 to June 2010 were analyzed and its clinical features were summarized.Results： In 32 cases,22 cases were advised hospitalization due to factors of mothers,10 cases were advised hospitalization due to their own abnormalities.Among them,asymptomatic and symptomatic congenital syphilis were 8 cases（25.0%）and 24 cases（75.0%） respectively.In 17cases with successful lumbar puncture,there were 10 cases（58.8%） with neurosyphilis.In 30 cases with penicillin treatment,29 cases recovered to normal.Conclusions：The newborns with congenital syphilis have no prominent symptoms in the early stage.The prognosis is good by regular treatment of penicillin.Lumbar puncture should be a routine examination of congenital syphilis.

关 键 词：新生儿 先天性梅毒 神经梅毒 无症状 

分 类 号：R722.1[医药卫生—儿科]