婴儿,新生;侵袭性真菌感染;易感因素," /> 婴儿,新生;侵袭性真菌感染;易感因素,"/> eonate;Invasive fungal infection;Predisposing factor,"/> <span style="line-height:2;font-size:14px;">新生儿侵袭性真菌感染11例临床观察</span>
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发育医学电子杂志  2013, Vol. 1 Issue (2): 97-100    
  围产医学   临床经验交流 |新生儿 |
新生儿侵袭性真菌感染11例临床观察
邱爱娟 郑国方 郝小清 武荣
州大学医学院附属淮安市妇幼保健院新生儿医学中心,淮安
223002
Clinical observation of 11 cases of neonatal invasive fungal infeorion
QIU Ai-juan,ZHENG Guo·-fang,HA0 Xiao·-qing
Neonatal Medical Center,Huaian MaternRy
and ChildHealthcare HospitalAl并liated to
Yangzhou UniversityMedicalAcademy,Huaian,223002,China
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摘要 【摘要】目的探讨新生儿侵袭性真菌感染(IFI)的临床特点。方法回顾分析我院新生儿重症监
护室11例确诊为IFI患儿的临床特点、易感因素及治疗转归。结果11例侵袭性真菌感染患儿中,
真菌性败血症8例,真菌性肺炎3例;10例为早产儿,9例出生胎龄<34周,7例为极低出生体重儿,
ll例IFI起病前均曾接受静脉应用广谱抗生素、营养支持及持续静脉内留置针,2例留置中心静脉导
管,7例曾机械通气。人院后7—10天出现反应差、反复青紫伴呼吸暂停、喂养不耐受、四肢松软、
肤色苍灰、低血压及发热等症状,8例血小板减少。血培养白假丝酵母菌5例,近平滑假丝酵母菌3例;
痰培养3例均为白假丝酵母菌。感染后1l例患儿均接受抗真菌及对症支持治疗,10例治愈后出院,
l例放弃治疗。结论IFI的高危因素包括早产儿、长期应用广谱抗生素、持续静脉内留置导管、机械
通气等,症状往往不典型,常伴有血小板计数下降。早期诊断及早期治疗预后较好。
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关键词:  婴儿')" href="#">婴儿  新生;侵袭性真菌感染;易感因素    
Abstract: 【Abstract】Objectives
To observe the clinical features of neonates with invasive
fungal infections
in the neonatal intensive care unit of the
hospital.Methods
A
retrospective analysis
of the clinical
features,
predisposing factors
and treatment experience in 1 1 cases of invasive
fungal
infections was conducted.Results
All of 1 1 cases,10 cases Was
premature children,9
cases with
gestational age of less
than 34 weeks,7 cases
very
low birth
weight infants,2
cases treated with
peripherally
inserted central
catheter(PICC)and
7 cases
supported by
mechanical ventilation(IMV).All cases were
receiving intravenous broad—spectrum antibiotics,
parenteral
nutrition and continuous intravenous catheter.From 7 days to 10 days after admission.there were a
number of clinical symptoms such as
poor response,cyanosis,apnea,feeding intolerance,soft limbs,skin
color
pale gray,low
blood
pressure,fever
and SO on.Blood culture ahowed candida
albicans(5 cases),and nearly
smooth candida yeast(3
cases).All
cases accepted
anti—fungal,supportive
and
symptomatic
treatment.Ten
patients
were cured and
discharged,and only
one
patient gave up
treatment.Conclusion Neonatal
high
risk
factors for invasive
fungal
infections were
premature birth,long—term application
of broad—spectrum antibiotics,
continuous intravenous catheter and IMV.The clinical
symptoms
were often
atypical,accompanied by
a
decrease in platelet count.The
prognosis would be
favorite if early
diagnosis
and
early
treatment were
given.
Key words:  font-size:14px    eonate;Invasive fungal infection;Predisposing factor')" href="#">">eonate;Invasive fungal infection;Predisposing factor
               出版日期:  2013-04-30      发布日期:  2019-09-07      期的出版日期:  2013-04-30
通讯作者:  武荣    E-mail:  Email:wr618@126.com
引用本文:    
邱爱娟 郑国方 郝小清 武荣. 新生儿侵袭性真菌感染11例临床观察[J]. 发育医学电子杂志, 2013, 1(2): 97-100.
QIU Ai-juan, ZHENG Guo·-fang, HA Xiao·-qing. Clinical observation of 11 cases of neonatal invasive fungal infeorion. Journal of Developmental Medicine(Electronic Version), 2013, 1(2): 97-100.
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[2] 刘一沉 石秀玉 邹丽萍. 基因在婴儿痉挛发病机制中的作用[J]. 发育医学电子杂志, 2015, 3(1): 52-55.
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