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目的探讨新生儿大叶性肺炎临床特点、病原学变迁及治疗转归。方法分析2008年12月—2010年12月58例NICU住院新生儿大叶性肺炎的临床表现,实验室检查及影像学表现特点及治疗转归。结果新生儿大叶性肺炎以肺炎克雷伯杆菌、金黄色葡萄球菌较常见,支原体感染也时有发生。结论及时行体液培养及药敏鉴定,及早行影像学检查,明确病原,针对用药,抗生素应足量、足疗程联合应用。
Objective To investigate the clinical features, etiology and prognosis of neonatal lobar pneumonia. Methods From December 2008 to December 2010, 58 patients with neonatal NICU hospitalized neonatal pneumonia clinical manifestations, laboratory tests and imaging features and treatment outcome. Results Myocardial lobe pneumonia in Klebsiella pneumoniae, Staphylococcus aureus are more common, mycoplasma infection often occur. Conclusions In a timely manner, the body fluid culture and drug sensitivity test were performed. The imaging examination was performed as early as possible to clarify the pathogen. For the treatment, the antibiotic should be used in sufficient quantity and combined with the full course of the foot.