[The forms of the clinical manifestation of a neonatal infectious bacterial syndrome with maternofetal transmission and the therapy used in the Neonatal Ward of the Baia Mare Maternity Hospital in 1983-1987].

A Pohl, I Radu, M Mesaroş, E Surianu, T Bancoş, D Fîrtea
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Abstract

Of a total of 24 newborn with neonatal bacterial infectious syndrome (NBIS), in 157 (65.12%) the infection appeared immediately at birth. In the rest of 84, the clinical manifestations appeared in the first 4 days of life followed in decreasing order by systemic manifestation without location on pneumonia and bronchopneumonia were the most frequently diagnosed, an organ, septicemias and meningitis, infectious jaundice, etc. Two antibiotics were associated in the severe forms, and antiinfectious monotherapy was used in the milder ones. In the cases with unfavourable clinical evolution, the antiinfectious treatment was used. The severe forms of NBIS were among the most cases of death at this age. NBIS manifested, therefore, under various forms, imitating other noninfectious affections. During diagnosis, mother's anamnestic data, and very often the clinician's intuition were very important, before the bacteriologic corroboration.

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[1983-1987年巴亚马雷妇产医院新生儿病房新生儿感染细菌综合征伴母胎传播的临床表现形式及治疗方法]。
在24例新生儿细菌感染综合征(NBIS)中,157例(65.12%)在出生后即出现感染。其余84例患儿的临床表现均出现在出生后4天,依次为肺炎、支气管肺炎、脏器、败血症及脑膜炎、感染性黄疸等。重症联合两种抗生素治疗,轻症联合抗感染单药治疗。对临床进展不利的病例,采用抗感染治疗。严重形式的NBIS是这一年龄段死亡人数最多的病例。因此,NBIS以各种形式表现出来,模仿其他非传染性的情感。在诊断过程中,在细菌学确证之前,母亲的记忆资料和临床医生的直觉是非常重要的。
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