嬰兒梅毒38例分析
發(fā)布時(shí)間:2018-02-14 08:51
本文關(guān)鍵詞: 嬰兒 梅毒 38例 分析 出處:《臨床皮膚科雜志》2017年04期 論文類型:期刊論文
【摘要】:目的 :探討嬰兒梅毒的母體情況、嬰兒梅毒臨床特點(diǎn)、輔助檢查及治療與預(yù)后的關(guān)系。方法 :對(duì)38例嬰兒梅毒的臨床資料及其母親孕期情況進(jìn)行回顧性分析。結(jié)果:38例嬰兒梅毒中,28例(73.6%)在3個(gè)月內(nèi)發(fā)病,臨床表現(xiàn)最常見依次為皮疹,貧血,骨骼損害,鼻塞,黃疸等。輔助檢查:血常規(guī)異常、C反應(yīng)蛋白增高、肝功能損害等常見,10例(26.3%)四肢長骨X線片提示骨損害;純貉蹇焖傺獫{反應(yīng)素環(huán)狀卡片試驗(yàn)滴度≥1∶32者24例(63.1%),母親孕期予以芐星青霉素正規(guī)治療2例(5.2%)。經(jīng)水劑青霉素或頭孢曲松治療后,隨訪26例,均提示治療有效。結(jié)論:嬰兒梅毒臨床表現(xiàn)多樣,診斷需要綜合母體孕期、分娩時(shí)情況及輔助檢查等,經(jīng)水劑青霉素或頭孢曲松治療后預(yù)后好。
[Abstract]:Objective: to investigate the maternal status of syphilis in infants and the clinical features of syphilis in infants. Methods: the clinical data of 38 infants with syphilis and the pregnant condition of their mothers were analyzed retrospectively. Results among 38 cases of syphilis, 28 cases (73.636) developed within 3 months. The most common clinical manifestations were skin rash, anemia, bone damage, nasal obstruction, jaundice and so on. X-ray examination of long bone in all limbs suggested bone damage. 24 cases with serum rapid plasma reactive hormone ring card test titer 鈮,
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