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新生儿败血症21例临床分析

21 cases of neonatal sepsis clinical analysis
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摘要 目的:总结新生儿败血症的临床表现,并研究了其病原菌分布和临床抗生素耐药性状况,为治疗及降低新生儿败血症病死率提供依据。方法:对收治的21例新生儿败血症的临床资料和实验室检查及药敏试验进行回顾性分析。结果:新生儿败血症临床表现无特异性,以体温异常、黄疸、精神萎靡等为主。21例血标本中分离出21株病原菌,其中革兰氏阳性菌15株,药敏试验发现大多数菌株对青霉素和氨苄西林耐药,对头孢菌素类也有不同程度的耐药性,对万古霉素和喹诺酮类抗生素较敏感。结论:新生儿败血症临床表现无特异性,凝固酶阴性的葡萄球菌感染率上升,应及早进行实验室检查并通过药敏试验选择抗生素综合治疗。 Objective : To summarize the clinical manifestations of neonatal sepsis and to study the pathogen distribution and antibiotic resistance of clinical conditions, for the treatment and reduce mortality provide the basis for neonatal sepsis. Methods: 21 cases admitted to neonatal sepsis in the clinical data and laboratory tests and drug sensitivity test were analyzed retrospectively. Results : The clinical manifestations of neonatal sepsis without specific abnormalities in body temperature, jaundice, and other mainly make them apathetic. Blood specimens from 21 cases of isolated 21 pathogens, including gram - positive bacteria 15, sensitivity test found that the majority of strains resistant to penicillin and ampicillin, and cephalosporins have varying degrees of resistance to vaneomycin myeophenolate Su - sensitive and quinolone antibiotics. Conclusion : The clinical manifestations of neonatal sepsis without specific coagulase - negative staphylococcal infection of the increase in laboratory tests should be conducted as soon as possible through the choice of antibiotic sensitivity test comprehensive treatment.
作者 黄华安
出处 《中国民族民间医药》 2009年第10期28-29,共2页 Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词 败血症 新生儿 检验 neonatal sepsis test
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