广州医药Issue(5)：36-39,4.DOI:10.3969/j.issn.1000-8535.2015.05.012
新生儿早发型无乳链球菌败血症临床分析
Clinical features of early-onset neonatal septicemia caused by group B streptococcus
罗梅娟 1张又祥 1翁志媛 1欧巧群 1肖雪1
作者信息
- 1. 广州市第一人民医院儿科 广州 510180
- 折叠
摘要
Abstract
Objective To investigate the clinical features of early-on set neonatal Group B Streptococcal (GBS)septi-cemia in order to guide the clinical diagnosis and treatment. Methods Retrospectively analysing the clinical presentation,la-boratory examination,treatment and prognosis of the 8 cases of all newborns from 2010 to 2012 in our hospital. Results The incidence of neonatal early-on set Group B Streptococcal septicemia was 6.28‰.8 cases were full-term infants in this study.Re-spiratory symptoms such as anhelation and cyanosis were first signs of early-on set Group B streptococcal septicemia within 24 hours after birth;4 cases of septic shock.Results of laboratory tests included WBC:2.07 ~14.1 ×109 /L,in which 5 cases were <5 ×109 /L,N 0.54 ~8.32 ×109 /L.Chest X-ray:lung texture showed coarse and disorderly,leakage was increased.One case needed respiratory support with mechanical ventilation.Intravenous treatment of neonatal GBS with penicillin combined with Vancomycin was effective.Patients of serve infections should be provided supportive care. Conclusion Patients of serve early symptom of respiratory system should be paid attention.Early diagnosis and treatment should be as soon as possible to re-duce fatalities.关键词
B族链球菌/败血症/婴儿/新生Key words
Group-B Streotococcal (GBS)/Septicemia/Infant/Newborn引用本文复制引用
罗梅娟,张又祥,翁志媛,欧巧群,肖雪..新生儿早发型无乳链球菌败血症临床分析[J].广州医药,2015,(5):36-39,4.
