中国医学创新2016,Vol.13Issue(35):42-46,5.DOI:10.3969/j.issn.1674-4985.2016.35.011
早发型及晚发型新生儿败血症临床高危因素对比
Comparison of Clinical Risk Factors for Early Onset and Late Onset Neonatal Sepsis
摘要
Abstract
Objective:To study the clinical features of neonatal early-onset sepsis and late-onset sepsis, and to provide useful data for the early diagnosis and treatment of neonatal sepsis.Method:A total of 153 cases of neonatal sepsis were analyzed retrospectively from Jan 2015 to Jun 2016,the risk factors were statistically analyzed.Result:Early-onset sepsis accounted for 38.56%,late-onset sepsis accounted for 61.44%.Compared to late-onset sepsis,the proportion of premature and low birth weight infants was lower in early-onset sepsis, OR were 0.481 and 0.478.The proportion of premature rupture of membranes and fever was high,OR were 2.270 and 3.529.Compared to early-onset sepsis,the proportion of apnea and feeding intolerance was lower in late-onset sepsis,OR were 0.410 and 0.400.Thrombocytopenia was common present in early-onset sepsis,OR was 2.438.Conclusion:We should be alert to late-onset sepsis when the infants are premature,low birth weight or suffer with apnea and feeding intolerance,while early-onset sepsis is more likely happened in infants who get thrombocytopenia,or mother get premature rupture of membranes and fever.关键词
新生儿/早发型败血症/晚发型败血症/临床特点Key words
Newborn/Early-onset sepsis/Late-onset sepsis/Clinical risk factor引用本文复制引用
缪珀,孙斌,冯星..早发型及晚发型新生儿败血症临床高危因素对比[J].中国医学创新,2016,13(35):42-46,5.基金项目
江苏省临床医学科技专项--新型临床诊疗技术攻关 ()