新生儿病理性黄疸合并感染性肺炎79例临床分析

Clinical Analysis of Neonatal Pathologic Jaundice Complicated with Infectious Pneumonia

目的探讨新生儿病理性黄疸合并感染性肺炎临床特点。方法对2012年1月至2013年12月在我院确诊的新生儿病理性黄疸合并感染性肺炎79例进行回顾性分析。结果 79例均以皮肤黄染为主要症状就诊,少吃少动50例(63.29%),呕吐32例(40.51%)。哭声低下36例(45.57%),体温不升或发热43例(54.43%);其中有呼吸系统典型临床表现者52例占65.82%,无呼吸系统典型临床表现者27例占34.18%。结论新生儿感染性肺炎往往以病理性黄疸为主要表现,部分患者呼吸系统临床表现不明显,如果不做胸部X线检查易误诊和漏诊。因此,临床医生对病理性黄疸患儿要积极寻找原因,排除感染性肺炎,并及时抗感染治疗。

Objective To investigate the clinical features of neonatal pathologic jaundice complicated with infectious pneumonia .Methods 79 cases of diagnosed neonatal pathologic jaundice in our hospital from January 2012 to December 2013 were analyzed retrospectively .Results All the 79 cases had the symptom of yellow skin.Among them,50 cases （63.29%）were complicated with declining diet,32 cases （40.51%）with vomit, 36 cases （45.57%） with lower crying,43 cases（54.43%）with Hypothermia or fever,52 cases had re-spiratory symptoms,accounting for 65.82%.Conclusion The main performance of neonatal infectious pneumo-nia is pathologic jaundice ,but part of the patients don＆#39;t have the obvious respiratory symptoms , so it is easy to be misdiagnozed or missed without Chest X-ray examination .