丁国芳 林新祝 (100730 中国医学科学院中国协和医科大学北京协和医院) 丁国芳；(漳州市人民医院) 林新祝 中华围产医学杂志 1998 0 1 2


    关键词：婴儿；早产；感染 期刊 zhwcyxzz 0 论 著 fur -->


    

【摘要】 目的 研究早产儿感染的发生率、影响因素、细菌分布及临床表现。 方法 对我院儿科1993年1月～1997年6月新生儿监护病房中137例早产儿(感染情况进行回顾性研究。孕周为25～36周，平均孕周33.8周)。 结果 孕周与感染无相关性(P>0.05);出生体重与感染有相关性；使用机械通气者与感染有明显相关性(P<0.01);感染与胃肠外营养无明显相关。感染的临床表现：喂养困难居首位，其次是呼吸暂停及青紫。细菌培养：第一位为表皮葡萄球菌，其次为金黄色葡萄球菌、克雷白菌属及大肠杆菌。 结论 (1)早产儿中小于胎龄儿较适于胎龄儿更易感染，应予以重视。(2)机械通气治疗是早产儿感染的重要影响因素。(3)早产儿感染的临床表现不典型，应注意喂养困难及呼吸暂停。

    Clinical Analysis of Premature Infection Ding Guofang,Lin Xinzhu. Department of Pediatrics,PUMC Hospital,Beijing 100730

    【Abstract】 Objective To study the morbidity,influencefactors,bacterial distributions and clinical manifestations of premature infection. Methods 137premature infants in PUMC Hospital from January 1993 to June 1997 were analyzed.Thegestational age of premature infants ranged from 25 to 36.5 weeks,average 33.8 weeks. Results Therewere no singnificant differences in gestational age and parenteral nutrition rate betweeninfection group and non-infection group (P>0.05).The birth weight and the number ofmachanical ventilation between the two groups were singnificant difference (P<0.05).Αpneaand cyanosis were common symptomes.Staphylococcus and Escherichio coli.were common seenbacteria. Conclusion For premature infection,1)small for gestationalage infants are more susceptible than appropriate for gestational age infants..2)machanical ventilation is a contributing factor.3)no specific clinical manifestation.

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