新生儿败血症休克的早期诊断:附20例分析

• 作 者: 颜艳玲 孙眉月
• 机 构: 浙江医科大学附属儿童医院,浙江医科大学附属儿童医院 310003,310003
• 出 处: 临床儿科杂志
• 发表日期: 1992年03期
• 关键词: 败血症休克 休克早期 低灌流状态 住院过程 早期诊断 低氧血症 临床资料 代谢性酸中毒 并发休克 化脑

本文报告20例新生儿败血症休克,入院时有休克表现15例,余5例在住院过程中发生。结果治愈10例,死亡10例。比较两组临床资料表明:死亡组多为休克晚期,有严重的组织低灌流表现及低血压(9/10例);治愈组为休克早期,血压多数正常(8/10例)。提出新生儿休克早期表现为组织低灌流状态伴血压正常或有低血压。对拟诊为败血症,尤其是G-杆菌败血症和/或化脑的新生儿应加强监护,直至证实病人灌流情况良好。

This article reports 20 neonatal septic shock, 15 cases of shock performance at admission, the remaining 5 cases occurred during hospitalization. Results 10 cases were cured and 10 died. The clinical data of two groups showed that the death group was mostly in the late stage of shock, with severe tissue hypoperfusion and hypotension (9/10 cases). The healing group was early shock and the blood pressure was mostly normal (8/10 cases). It is suggested that the early manifestation of neonatal shock is the tissue hypoperfusion with normal blood pressure or hypotension. Intensive monitoring should be performed on neonates who are diagnosed with sepsis, especially G-cell septicemia and / or mesencephalic brain, until the patient’s perfusion is confirmed.