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新生儿病理性黄疸与感染性肺炎相关性研究

The Correlation Study of Neonatal Pathologic Jaundice and Infectious Pneumonia

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目的:探讨新生儿病理性黄疸与感染性肺炎的相关性。方法:选自2012年1月至2013年6月在我院确诊的新生儿病理性黄疸271例病例进行胸部X线检查。分析病理性黄疸与感染性肺炎的相关性。结果:共271例患儿,与感染因素有关的74例占27.31%。其中合并感染性肺炎61例(22.51%);新生儿败血症9例(3.32%);新生儿脓疱疹2例(0.74%);泌尿系统感染1例(0.37%),肠道感染1例(0.37%)。61例新生儿肺炎其中有呼吸系统症状、体征者40例占65.57%,无呼吸系统症状、体征者21例占34.43%。结论:新生儿病理性黄疸的病因中感染是其主要原因,而感染性肺炎在感染因素中所占权重比较大,部分新生儿肺炎患者症状、体征不明显,如果不拍胸片检查易误诊和漏诊。因此,临床医生对病理性黄疸病人要积极寻找原因,排除感染性肺炎,并及时抗感染治疗。
Objective:To investigate the correlation of neonatal pathologic jaundice and infectious pneumonia. Methods:271 cases of diagnosed neonatal pathologic jaundice in our hospital from January 2012 to June 2012 were taken chest X-ray examination, and analyze its correlation of Neonatal Pathologic Jaundice and Infectious Pneumonia. Results:Among al the cases, 74 cases (27.31%)related to some infectious agents;Among them, 61 cases (22.51%)with Infectious pneumonia, 9 cases (3.32%) with neonatal septicemia, 2 cases with neonatal herpes, accounted for 0.74%,1 case(0.37%) with urinary system infection, 1 cases(0.37%) with intestinal infection.Among al 61 neonatal pneumonia cases, 40 cases(65.57%) with respiratory symptoms, and 21cases(34.43%) without. Conclusion:Infection is the main cause of Neonatal Pathologic Jaundice, and neonatal pneumonia accounted for a large proportion, most of them without typical symptoms, so misdiagnosis and missed analysis easily occurs. Thus, clinical doctors should find the real reasons to eliminate neonatal pneumonia and take anti-infection treatment.

the newbornpathological jaundiceinfectious pneumonia

丁刚、张金娥

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广东省深圳市龙岗区妇幼保健院新生儿科 广东 深圳 518172

新生儿 病理性黄疸 感染性肺炎

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(12)
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