新生儿病例分析课件.pptx
- 【下载声明】
1. 本站全部试题类文档,若标题没写含答案,则无答案;标题注明含答案的文档,主观题也可能无答案。请谨慎下单,一旦售出,不予退换。
2. 本站全部PPT文档均不含视频和音频,PPT中出现的音频或视频标识(或文字)仅表示流程,实际无音频或视频文件。请谨慎下单,一旦售出,不予退换。
3. 本页资料《新生儿病例分析课件.pptx》由用户(晟晟文业)主动上传,其收益全归该用户。163文库仅提供信息存储空间,仅对该用户上传内容的表现方式做保护处理,对上传内容本身不做任何修改或编辑。 若此文所含内容侵犯了您的版权或隐私,请立即通知163文库(点击联系客服),我们立即给予删除!
4. 请根据预览情况,自愿下载本文。本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。
5. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007及以上版本和PDF阅读器,压缩文件请下载最新的WinRAR软件解压。
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 新生儿 病例 分析 课件
- 资源描述:
-
1、新生儿病例讨论首都儿科研究所附属儿童医院米荣Case 1-historyThe girl was born in Beijing obstetrics and Gynecology hospital.The mother was a primipara and previously healthy with an uneventful pregnancy.The parents were nonconsanguineous(无血缘关系的).Spontaneous labour occurred in gestational age 38 weeks.Due to slow progress,g
2、reen amniotic fluid,polyhydramnion(羊水过多),and a pathological cardiotocography(分娩监护仪),an acute caesarean section(剖宫产)was performed.Apgar scores were 3.6and 9 in 1,5,and 10minutes,respectively.Birh weight was 3,510g.K-vitamin was administered.The mother remained afebrile during and after delivery.The c
3、hild had a normal physical examination,except from a petechial rash(瘀点).She was suspected for sepsis and started on piperacillin sodium and tazobactam sodium(特治星)and cefotaxime sodium(头孢噻肟钠).Abdominal ultrasound showed an enlarged liver with a normal structure.Within the first 24 hours,she became ic
4、teric and was transferred to specialized neonatal care in Capital Institute of Pediatrics.Case 1-Lab testTable 1Investigations performed in the neonatal periodExamination Test resultsBone marrow aspiration No malignancyCMV serology CMV IgM positiveCMV PCR in blood and urine positive in urine after t
5、hree weeks EBV serology negativeUrine metabolic screen normalX-ray thorax bilateral pneumonia X-ray abdomen normalUS abdomen marked hepatomegalyCase 1-questionsWHAT IS THE DIAGNOSIS OF THE INFANT?WHAT IS THE AETIOLOGY OF THE DISEASE?HOW SHOULD WE TO DO?WHAT IS PROGNOSIS OF THE INFANT?Case 1-diagnosi
6、sNEONATAL SEPSIS PURULENT MENINGITIS NEONATAL HEPERBILIRUBINEMIA NEONATAL HEMOLYTIC DISEASE ABO incompatibility hemolytic disease新生儿败血症新生儿期病原体(细菌、病毒、霉菌)等侵入血液循环并在其中生长繁殖,产生毒素所造成的全身性感染。其发病率占活产婴儿的1-10%。早产儿、男婴、胎膜早破大于24小时,母亲产时发热,羊水2度以上污染者发病率高。新生儿败血症-病原菌致病菌种随着不同地区和年代而异。葡萄球菌最常见,其次为肠杆菌,大肠埃希氏菌,也有机会菌,如表皮葡萄球菌、绿
展开阅读全文