新生儿破伤风七例临床分析

A Clinical Analysis about 7 Cases of Newborn Tetanus

目的总结新生儿破伤风的临床治疗经验及预防措施。方法对7例新生儿破伤风的治疗做回顾性分析。结果5例患儿治愈,1例转院,1例死亡。结论大剂量应用破伤风抗毒素(TAT)及地西泮,积极防治感染,保证热量供应,保持环境安静是治疗的主要措施,小剂量TAT治疗可能会延误或加重病情。推广新法接生可预防新生儿破伤风。

Objective To conclude the clinical treatment experience and the preventive measure about newborn tetanus. Methods The treatment of 7 cases with newborn tetanus were analyzed retrospectively. Results In the 7 cases, 5 cases were cured, 1 case was transported to other hospital, 1 cases was dead. Conclusion The major treating measures were using large dosage tetanus antitoxin （TAT） and diazepam, preventing and treating infection actively, providing adequate calorie and keeping the environment quiet. Small dosage TAT might make the disease delayed or more curious. Popularizing new midwifery can prevent the tetanus of newborns.