医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
14期
58-59
,共2页
新生儿%水痘%先天性
新生兒%水痘%先天性
신생인%수두%선천성
Neonate%Varicella%Congenital
目的探讨新生儿水痘的临床特点、诊断及预后。方法对川北医学院附属医院2011年1月1日~2013年12月31日住院的新生儿水痘病例16例进行回顾性分析。结果16例均有明确的接触史，典型的皮疹，发热。12例治愈出院，4例因放弃治疗后死亡，病死率为25豫。16例患儿中，12例为先天性水痘，均合并有并发症(12/12)，其中3例死亡；4例获得性水痘患者中仅2例合并并发症(2/4)，死亡1例。14例并发症的情况为：4例并发皮肤感染，7例并发水痘肺炎，2例并发水痘脑炎，1例并发多器官功能损伤。结论新生儿期水痘病情危重，易发生并发症，并与预后相关。早期诊断，加强育龄妇女的预防接种及新生儿的防护隔离，可减少新生儿水痘的发生。
目的探討新生兒水痘的臨床特點、診斷及預後。方法對川北醫學院附屬醫院2011年1月1日~2013年12月31日住院的新生兒水痘病例16例進行迴顧性分析。結果16例均有明確的接觸史，典型的皮疹，髮熱。12例治愈齣院，4例因放棄治療後死亡，病死率為25豫。16例患兒中，12例為先天性水痘，均閤併有併髮癥(12/12)，其中3例死亡；4例穫得性水痘患者中僅2例閤併併髮癥(2/4)，死亡1例。14例併髮癥的情況為：4例併髮皮膚感染，7例併髮水痘肺炎，2例併髮水痘腦炎，1例併髮多器官功能損傷。結論新生兒期水痘病情危重，易髮生併髮癥，併與預後相關。早期診斷，加彊育齡婦女的預防接種及新生兒的防護隔離，可減少新生兒水痘的髮生。
목적탐토신생인수두적림상특점、진단급예후。방법대천북의학원부속의원2011년1월1일~2013년12월31일주원적신생인수두병례16례진행회고성분석。결과16례균유명학적접촉사，전형적피진，발열。12례치유출원，4례인방기치료후사망，병사솔위25예。16례환인중，12례위선천성수두，균합병유병발증(12/12)，기중3례사망；4례획득성수두환자중부2례합병병발증(2/4)，사망1례。14례병발증적정황위：4례병발피부감염，7례병발수두폐염，2례병발수두뇌염，1례병발다기관공능손상。결론신생인기수두병정위중，역발생병발증，병여예후상관。조기진단，가강육령부녀적예방접충급신생인적방호격리，가감소신생인수두적발생。
Objective To discuss clinical symptoms,diagnosis and prognosis of neonatal varicella. Methods Fifteen cases of neonatal varicella hospitalized in Af iliated Hospital of North Sichuan Medical College from January 1,2011 to December 31,2013 were retrospectively analyzed. Results Al of 16 cases had clear contact history, typical rash and fever.Among these cases,12 of them had been cured,while other 4 cases died after giving up treatment,The mortality rate was 25%,12 cases were congenital varicella,al of them had complications (12/12) and 3 cases died.Among 4 acquired varicella cases,only 2 of them had complications (2/4) and 1 case died.The situation of complications was as follows:4 cases with skin infection,7 cases with varicella pneumonia,1 case with varicella encephalitis,and 1 ease with multiple organ dysfunction syndrome. Conclusion The mortality rate of neonatal varicella is relatively high,especial y the eases with complications.The complications have a huge impact on the prognosis.Early diagnosis and prevention is very important. The most effective way to prevent varicella and associated neonatal infection is immunization with varicella vaccine before pregnancy.
