16年新生儿感染性疾病513例分析  

Clinical analysis of 513 caes of neonatal infections diseases in 16 years.

作　　者：黄潕 刘清平 邓禄沁 

机构地区：[1]福建省福安市宁德地区第一医院儿科,355000

出　　处：《中国优生与遗传杂志》2000年第3期96-97,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的 :了解 16年来本地区新生儿感染性疾病的发病情况。方法 :用回顾性分析法对本院 16年来的住院新生儿感染性疾病进行逐一分析。结果 :新生儿感染性疾病 5 13例 ,占儿科住院总数的 2 .9% ,占新生儿住院总数的 6 5 .9% ;发病季节夏季最高近 1/3,春季最低为 1/5。病种分布 :肺炎 2 15例 (41.9% ) ,脐炎 114例 (2 2 .2 % ) ,各种败血症 77例 (15 .1% ) ,各种肠炎 42例 (8.2 % ) ,支气管炎 2 9例 (5 .7) ,各种口炎 17例 (3.3% ) ,胎传梅毒 12例 (2 .2 % ) ,化脓性脑膜炎 6例 (1.2 % ) ,皮炎 1例 (0 .2 % )。疗效 :病愈 32 0例 (6 2 .4% ) ,好转 10 5例 (2 0 .5 % ) ,恶化 45例 (8.8% ) ,死亡 43例 (8.3% ) ,其中肺炎 12例 ,败血症 7例 )。结论 :新生儿感染性疾病中肺炎仍占首位 ,其次为脐炎、再次为败血症。死因中肺炎占首位 ,其次为败血症。要尽可能对新生儿感染作出病因诊断 ,掌握好抗生素的选择和应用指征。For the understand pathogenetic circumstances of the neonatal infections disease in this area in past 16 years.Methods:Used the analysis of review nethods to analysis all the inpatient of the neonatal infectins disease one by one in this hopsital. Result:Neonatal infectious diseases total 513 cases,make up 2.5% of the total pediatric inpatients,account for 65.9% of the total neonaltal inpatients.In the summer,morbility was highest, almost reach 1/3.In the spring,morbility was lowest-only 1/5.The kind of diseases distributed as follows:The bronchopneumonia 215 cases(41.9%),the omphalitis 114 cases(22.2%),all kinds of the septicemia 77 cases(15.1%),all kinds of the enteritis 42 cases(8.2%),the bronchitis 29 cases (5.7%),all kinds of the stomatolossitis 17 cases (3.3%),the placental transmission syphilis 12 cases (2.2%), the pyogenic meningitis 6 cases (1.2%),and the dermatitis 1 case (0.2%).Curative effect:The convalesence 320 cases(62.4%),better 105 cases (20.5%),worsen 45 cases(8.8%),death 43 cases (8.3%),among these death patients,brochopneumoina make up 12 cases, all kinds of septicemia account for 7 caes.) Conclusion:The morbility of the bronchopneumonia still occupy the first place, the second was the omphalitis,the third was the all kinds of the septicemia. Among the death causes,bronchopneumonia also occupy the first place.Confront the neonatal infections diseases,as far as possible obtain pathogeny diagnosis,have a good grasp selected and applied of the antibiotics.

关 键 词：新生儿 感染 发病 诊断 治疗 抗生素 

分 类 号：R722.1[医药卫生—儿科]