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小儿科门诊经常有新生儿脐炎患儿就诊,因某种原因患儿家属不愿住院治疗或病情较轻不需住院,我们采取门诊处理随访观察的方法取得了满意的效果。 1 临床表现 患儿平均日龄均在15日以内,表现一般情况尚可,呼吸平稳,面色红润,反应好,哭声响亮,吃奶正常,无发热,脐部分别有脓性或脓血性分泌物并有恶臭,也有脐带未脱落者。 2 处理方法与效果 2.1 处理方法:(1)用消毒棉签蘸取双氧水,撑开患儿脐窝彻底消毒,反复多次,直至双氧水不起泡沫为止。(2)用2.5％碘酒脐窝烧灼,时间不能过长,注意不要烧伤脐周皮肤。(3)用75％酒精脱碘3次,使碘酒痕迹完全消失。用消毒纱布敷盖缠裹。(4)操作要迅速,冬季注意保暖,避免着凉。(5)嘱家属保持脐部清洁干燥,避免尿湿污染脐部,并按医嘱服用抗生素,患儿如果出现异常情况及时就诊。
Pediatric clinic often have neonatal omphalitis in children for treatment, for some reason, family members do not want to hospitalization or mild illness without hospitalization, we follow the outpatient treatment follow-up observation achieved satisfactory results. 1 clinical manifestations of children with average age of 15 days or less, the performance of the general situation is acceptable, stable breathing, looking rosy, good response, loud crying, normal feeding, no fever, umbilical were purulent or purulent secretion Things and stench, umbilical cord also did not fall off. 2 treatment methods and effects of 2.1 treatment methods: (1) with sterile cotton swab dipped in hydrogen peroxide, propped children with umbilical fossa thoroughly disinfected, repeated several times until the hydrogen peroxide can not afford to foam. (2) with 2.5% iodine umbilical cord burning, the time can not be too long, be careful not to burn the umbilical skin. (3) 3 times with 75% alcohol deiodination, the traces of iodine completely disappear. Cover with sterile gauze wrap wrapped. (4) operation should be prompt, keep warm in winter to avoid the cold. (5) The relatives to keep the umbilical clean and dry, to avoid urinary pollution umbilical cord, and according to doctor’s advice taking antibiotics, children in case of abnormal conditions and timely treatment.