论文部分内容阅读
新生儿斑疹伤寒极为少见,国内文献尚未见报道,现将我院新生儿病区收冶的一例新生儿斑疹伤寒报告如下。男婴,18天,系足月一胎一产,产程中用催产素及胎头吸引器助产,脐带绕颈一周,生后哭声小、入院前1天开始发烧,体温39℃伴烦躁哭闹发惊,但无抽风及呕吐,吃奶尚好,大小便正常。其母产后第3天发热,持续8天,在当地医院诊断为斑疹伤寒。患儿随母住院17天,和母亲接触较多。其母系皮毛猪鬃厂车间工人,同厂有三个工人也先后发热,均诊断为斑疹伤寒。体检:体温38℃,发育营养佳,易激惹,意识清,前囟3×3cm饱满,颅缝未增宽,眼神呆滞,颈稍抵抗,心音有力未闻杂音,两肺呼吸音粗,腹软,肝肋下1.5cm剑突下1cm,脾未触及,皮肤无黄染及皮疹,四肢肌张力正常,生理反射存在。
Neonatal typhus is extremely rare, the domestic literature has not been reported, now our hospital neonatal ward received a case of neonatal typhus reported below. Baby boy, 18 days, a full-term one-child birth, birth process with oxytocin and fetal head suction midwifery, umbilical cord around the neck a week after birth, crying, 1 day before admission fever, body temperature 39 ℃ with irritability Cry frightened, but no ventilation and vomiting, feeding is still good, normal urine. The first 3 days after giving birth fever, persist for 8 days in the local hospital diagnosis of typhus. Children with hospitalized mother 17 days, and more contact with the mother. The maternal fur bristles factory workshop workers, with the factory has three workers also have fever, were diagnosed as typhus. Physical examination: body temperature 38 ℃, the development of good nutrition, irritability, clear consciousness, brisk 3 × 3cm full, cranial suture is not widened, dizzy eyes, slightly resistant neck, unreliable heart sound noise, Soft, liver rib 1.5cm xiphoid 1cm, spleen not touched, skin yellow dye and rash, limb muscle tone normal, there is physiological reflex.