[1]王红)△,李珊).早发型与晚发型新生儿败血症临床比较[J].郑州大学学报(医学版),2015,(02):283.
 WANG Hong,LI Shan.Clinical comparison of earlyonset and lateonset neonatal sepsis[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2015,(02):283.
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早发型与晚发型新生儿败血症临床比较
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2015年02期
页码:
283
栏目:
应用研究
出版日期:
2015-03-20

文章信息/Info

Title:
Clinical comparison of earlyonset and lateonset neonatal sepsis
作者:
王红1)△李珊2)
1)解放军第117医院儿科 杭州 3100132)杭州师范大学附属医院儿科 杭州 310015
Author(s):
WANG Hong1) LI Shan2)
1)Department of Pediatrics, the No. 117 Hospital of PLA, Hangzhou 3100132)Department of Pediatrics, the Affiliated Hospital, Hangzhou Normal University, Hangzhou 310015
关键词:
早发型晚发型新生儿败血症
Keywords:
early onset lateonset neonatal sepsis
分类号:
R722.131
摘要:
目的:探讨早发型与晚发型新生儿败血症的临床表现、血液检查结果及并发症发生情况的差异,为提高该病的诊断及治疗水平提供帮助。方法:选取2011年6月至2013年6月收治的新生儿败血症60例,分为早发型组和晚发型组,每组30例。对2组患儿的临床表现、血液学相关检查结果及并发症发生情况进行比较。结果:早发型组硬肿、反应迟钝发生率高于晚发型组(χ2=12.273、5.963,P均<0.05)。早发型组感染性休克、DIC发生率高于晚发型组(χ2=6.648、5.455,P均<0.05),而晚发型组化脓性脑炎发生率则高于早发型组(χ2校正=5.192,P=0.023)。早发型组PLT低于晚发型组(t=4.298,P<0.001)。结论:早发型与晚发型新生儿败血症临床表现、辅助检查各异,临床诊治过程中需综合分析。
Abstract:
Aim: To explore the earlyonset and lateonset neonatal sepsis′ clinical manifestations, blood test results and complications.Methods: A total of 60 patients with neonatal sepsis were collected and divided into earlyonset group(n=30) and lateonset group(n=30). For all the children, clinical manifestations, hematology associated results and complications were retrospectively analyzed. Results: The rates of hard swollen and lag in response in earlyonset group were significantly higher than those of lateonset group(χ2=12.273,5.963,P<0.05). The rates of septic shock and DIC in earlyonset group were significantly higher than those of the lateonset group(χ2=6.648,5.455,P<0.05), while the suppurative encephalitis incidence rate was lower(χ2adjusted=5.192,P=0.023).In earlyonset group PLT was lower compared with the lateonset group(t=4.298,P<0.001). Conclusion: Earlyonset and lateonset neonatal sepsis have different clinical manifestations and auxiliary examination.

参考文献/References:

[1]凌婷,张森山.新生儿败血症45例临床分析[J].当代医学,2012,18(31):69 [2]孙雪.败血症引起新生儿死亡的高危因素分析[J].当代医学,2011,17(24):107 [3]金汉珍,黄得珉.实用新生儿学[M].3版.北京:人民卫生出版社,2003:342 [4]姜毅.新生儿败血症诊疗进展[J].中国新生儿科杂志,2010,25(2):69 [5]Strunk T,Currie A,Richmond P,et al.Innate immunity in human newborn infants: prematurity means more than immaturity[J].J Matern Fetal Neonatal Med,2011,24(1):25 [6]钟巧,杨传忠,高晓玲,等.新生儿重症监护病房医院感染败血症病例研究[J].中华医院感染学杂志,2011,21(5):888 [7]胡月圆,李贵南,杨慧,等.新生儿败血症220例临床分析[J].中国新生儿科杂志,2011,26(3):195

更新日期/Last Update: 1900-01-01