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作者报告1983年7月~87年3月某院新生儿急救中心连续诊治的18例新生儿全身性念珠菌病患婴,其发病率占出生体重<1500g婴儿的3.4%,其诊断根据包括血、脑脊液、耻骨上穿刺或导尿、或体腔抽出液等系统培养真菌阳性;或有真菌性眼内炎;皮肤刮除物用氢氧化钾液检出假菌丝等。根据皮肤病变所见,可将患婴分为4组:第1组为弥漫性灼伤样皮炎(8例):通常在生后头3天出现皮炎。皮炎常见于下背、臀、胸、和腹部,也有涉及腋部和腹股沟的。皮炎为边界不清的鲜红色斑,类似Ⅰ°灼伤。5例在发生皮炎24~48小时内出
The authors report 18 consecutive neonates with systemic candidiasis who were diagnosed and treated consecutively by a neonatal emergency center in a hospital from July 1983 to March 1987 with a prevalence of 3.4% of birth weight <1500g infants, , Cerebrospinal fluid, suprapubic puncture or catheterization, or body cavity extraction fluid system culture fungi positive; or fungal endophthalmitis; skin scraping substance with potassium hydroxide liquid to detect pseudohyphae and so on. According to the skin lesions seen, can be divided into four groups of infants: Group 1 diffuse burns-like dermatitis (8 cases): usually in the first 3 days after birth dermatitis. Dermatitis common in the lower back, buttocks, chest, and abdomen, but also involving the axilla and groin. Dermatitis is a bright red spot with an unclear border, similar to I ° burns. 5 cases occurred within 24 to 48 hours of dermatitis out