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本文对87例新生儿败血症病例进行了回顾性分析。病原菌以表皮葡萄球菌为主占50.8％,生后3天内血培养以革兰氏阳性细菌为主占76.5％,溶血性链球菌发病率较高,占12.6％。本组病例无论何种细菌感染,皮肤黄疸均高居首位达63.6％～100％。提示:表皮葡萄球菌阳性率相当高,是否为院内获得性感染或为污染菌或为致病菌的转变,尚待进一步证实;溶血性链球菌发病率在国内有增高趋势,须引起重视;生后4天黄疸加重应考虑患本病的可能,及时做血培养并介用Philip介绍的适于基层开展的5种测定项目进行综合评价,以其达到早期诊断、及时治疗,从而提高治愈率,降低死亡率。
In this paper, 87 cases of neonatal sepsis were retrospectively analyzed. Staphylococcus epidermidis accounted for 50.8% of the pathogens. Gram-positive bacteria accounted for 76.5% in the blood culture within 3 days after birth. The incidence of hemolytic streptococcus was high, accounting for 12.6%. No matter what bacterial infection in this group of patients, skin jaundice were highest in the first 63.6% to 100%. Hint: The positive rate of Staphylococcus epidermidis is very high. Whether it is an acquired nosocomial infection or a change of contaminated bacteria or pathogens remains to be confirmed. The incidence of hemolytic streptococci in China is on the rise and deserves attention. 4 days after the jaundice increase should consider the possibility of suffering from this disease, timely blood culture and introduced by Philip introduced for the grass-roots level of the five kinds of determination of a comprehensive evaluation of the project to achieve early diagnosis and timely treatment to improve the cure rate, Reduce mortality.