婴儿梅毒38例分析

发布时间：2018-02-14 08:51

  本文关键词： 婴儿 梅毒 38例 分析　出处：《临床皮肤科杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的 :探讨婴儿梅毒的母体情况、婴儿梅毒临床特点、辅助检查及治疗与预后的关系。方法 :对38例婴儿梅毒的临床资料及其母亲孕期情况进行回顾性分析。结果:38例婴儿梅毒中,28例(73.6%)在3个月内发病,临床表现最常见依次为皮疹,贫血,骨骼损害,鼻塞,黄疸等。辅助检查:血常规异常、C反应蛋白增高、肝功能损害等常见,10例(26.3%)四肢长骨X线片提示骨损害。患儿血清快速血浆反应素环状卡片试验滴度≥1∶32者24例(63.1%),母亲孕期予以苄星青霉素正规治疗2例(5.2%)。经水剂青霉素或头孢曲松治疗后,随访26例,均提示治疗有效。结论:婴儿梅毒临床表现多样,诊断需要综合母体孕期、分娩时情况及辅助检查等,经水剂青霉素或头孢曲松治疗后预后好。
[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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