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新生儿败血症是新生儿期常见和重要的感染性疾病,也是围产期主要的死因之一。因其症状与体征无特异性,往往易使诊断延误,影响治疗。兹将我院近6年(1982～1987年)收治的临床与病理诊断为败血症的83例进行分析以提高对本病的认识。本组新生儿败血症的诊断标准是:凡有感染的病史和/或感染中毒的临床表现和/或外周血白细胞的异常和/或化脓性病灶等体征,并具备下列一项者,即可诊断:(1)血培养2次以上阳性;(2)血培养1次阳性,但临床表现明显,并且敏感抗生素治疗有效;(3)尸检符合败血症的表现。
Neonatal sepsis is a common and important infectious disease in the neonatal period, but also one of the major causes of perinatal death. Because of its symptoms and signs of non-specific, often easy to delay diagnosis, affecting treatment. In our hospital nearly 6 years (1982 ~ 1987) admitted to clinical and pathological diagnosis of sepsis 83 cases were analyzed to improve the understanding of the disease. The diagnostic criteria for neonatal sepsis in this group are as follows: Where there is a history of infection and / or clinical manifestations of infection and / or abnormalities and / or suppurative lesions of peripheral white blood cells and other signs, and have one of the following, you can diagnose : (1) blood culture more than 2 times positive; (2) blood culture once positive, but the clinical manifestations, and effective antibiotic treatment is effective; (3) autopsy in line with the performance of sepsis.