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作者报告了该院近年来所见之7例新生儿绿脓杆菌感染,年龄8——22天,计肺炎伴发大肠杆菌败血症1例。肠炎伴发菌痢1例,败血症1例,肺炎并发肺脓疡1例,化脓性结合膜炎1例,伤口感染1例,溃疡性口腔炎1例。每例均经培养证实。经治疗后4例治愈,3例死亡。通过病例分析,作者认为儿科范围绿脓杆菌感染多见于营养不良伴有多种维生素缺乏患儿,特别是新生儿。在诊断方面应注意以下各点:(1)不正常的眼分泌物增多,此种绿脓杆菌性结合膜炎常迁延不愈,在眼角及睑缘易形成溃疡,有时很快恶化,发生角膜穿孔。(2)皮肤发生广泛糜烂面,并有淡绿色脓性分泌物,应考虑本病。绿脓杆菌能产生一种蓝
The authors report the hospital in recent years, seen in seven cases of neonatal Pseudomonas aeruginosa infection, aged 8--22 days, with pneumonia associated with Escherichia coli sepsis in 1 case. 1 case of enteritis accompanied by bacillary dysentery, 1 case of sepsis, 1 case of pneumonia complicated with pulmonary abscess, 1 case of purulent conjunctivitis, 1 case of wound infection and 1 case of ulcerative stomatitis. Each case was confirmed by culture. After treatment, 4 cases were cured and 3 died. Through case analysis, the author believes that pediatric Pseudomonas aeruginosa infection more common in children with multiple malnutrition deficiency, especially in newborns. In the diagnosis should pay attention to the following points: (1) abnormal ocular discharge increased, such Pseudomonas aeruginosa conjunctivitis often delayed unhealed, easy to form ulcers in the corner of the eye and eyelid, and sometimes deteriorated quickly, the occurrence of corneal perforation. (2) extensive erosion of the skin surface, and light green purulent secretions, should consider the disease. Pseudomonas aeruginosa can produce a blue