新生儿先天性梅毒的早期诊断和治疗

The early diagnosis and treatment of neonatal congenital syphilis

目的分析新生儿先天性梅毒进行早干预、早诊断、早治疗和减少新生儿病残率和死亡率的效果。方法对28例确诊先天性梅毒的新生儿进行临床资料和治疗转归分析。结果本组25例经治疗后,临床症状基本消失,出院后3个月复查TPHA试验均阴性。结论对高危孕妇、高危儿常规进行筛查及随访,做到早期干预确诊、早期诊治、早期治疗。

Objective To carry out syphilis early intervention, early diagnosis and early treatment for neonates with congenital syphilis to reduce the rate of neonatal morbidity and mortality. Methods The clinical data of 28 neonates with congenital syphilis were analyzed to illustrate the importance of early prevention and treatment. Results The clinical symptems basically disappeared in 25 cases after treatment. TPHA test became negative 3 months after discharge. Conclusion The high risk pregnant women and neonates should been performed rouline screening and following up in order to given early intervention, diagnosis and treatment.