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1985年2月我院婴儿室发生新生儿流行性腹泻。本组14例中,男婴9例,女婴5例,从出生到发病,最短2天,最长12天,平均4天。95%患儿出现绿色及黄绿色稀便,日行5～10余次。便秘者1例(为36周早产儿,在保温箱中其大便培养也发现甲型副伤寒菌。)发烧者4例。体温在37.6℃～40℃之间。皮肤出现少量小瘀点1例。新生儿生理性黄疸消退时间延长者3例,肝肿大者5例,脾肿大者3例。并发念球菌感染性口腔炎4例。肺炎1例。实验室检查:血象中嗜酸性粒细胞消失者7例,占36.7%。粪便镜检见脂肪球者16例,见红细胞,脓细胞者2例,肉眼见伪膜样便1例。粪便培养14例均为甲型副伤寒菌阳性。药敏试验对丁胺卡那霉素、氨苄、羧苄青霉素高度敏感。肥达氏反应阴性。患儿经隔离,给于抗生素及补液等
February 1985 neonatal diarrhea in our hospital infants. The group of 14 cases, 9 cases of male baby, 5 cases of baby girl, from birth to onset, the shortest 2 days, up to 12 days, an average of 4 days. 95% of children with green and yellow-green loose stools, Japanese trip 5 to 10 times. Constipation in 1 case (36 weeks premature children in the incubator in stool culture also found Paratyphoid Type A.) 4 cases of fever. Body temperature between 37.6 ℃ ~ 40 ℃. A small amount of skin petechia 1 case. Neonates physiological jaundice subsided time in 3 cases, 5 cases of hepatomegaly, splenomegaly in 3 cases. Concurrent cryptococcal infection stomatitis in 4 cases. 1 case of pneumonia. Laboratory tests: blood eosinophils disappeared in 7 cases, accounting for 36.7%. Fat stool microscopy found in 16 cases, see red blood cells, pus in 2 cases, the naked eye see a pseudomembranous in 1 case. Stool culture in 14 cases were Paratyphoid A positive. Drug susceptibility test for amikacin, ampicillin, carbenicillin highly sensitive. Widal reaction negative. Children were isolated, given antibiotics and fluid replacement