论文部分内容阅读
目的了解新生儿破伤风的临床特征,观察新生儿破伤风临床治疗疗效,以提高新生儿破伤风抢救水平。方法对40例新生儿破伤风患者抗感染、应用破伤风抗毒素、控制痉挛、加强护理等治疗。结果本组40例患儿中有38例并发肺炎(95.0%),5例并发败血症(12.2%),10例合并皮肤感染(25.0%)如尿布疹、褥疮等。40例中治愈35例(87.5%),疗程30～90d;3例因家庭困难放弃治疗出院,2例因合并严重败血症死亡。结论新生儿破伤风临床症状典型,易诊断。新生儿破伤风关键在于预防,治疗较复杂,需注意控制惊厥,抗感染,营养支持,加强护理等综合治疗,方能取得较满意的临床疗效。
Objective To understand the clinical features of neonatal tetanus and to observe the clinical efficacy of neonatal tetanus in order to improve the rescue of neonatal tetanus. Methods 40 cases of neonatal tetanus in patients with anti-infection, the application of tetanus antitoxin, control spasms, and strengthen care and other treatment. Results Of the 40 cases, 38 cases were complicated with pneumonia (95.0%), 5 cases with septicemia (12.2%) and 10 cases with skin infections (25.0%) such as diaper rash and bed sores. Of 40 cases, 35 cases were cured (87.5%), the course of treatment was 30-90 days. Three patients were discharged due to family difficulties and two died of severe sepsis. Conclusion The clinical symptoms of neonatal tetanus are typical and easily diagnosed. Neonatal tetanus is the key to prevention, treatment is more complex, need to pay attention to control seizures, anti-infective, nutritional support, intensive care and other comprehensive treatment in order to obtain more satisfactory clinical efficacy.