摘要
以病例回顧方式探討11例自1983年來在國立護專衛生中心診斷爲新生兒乳腺炎之病例。在11例中，所有病人皆爲足月産，年齡在1至4週之間，男女發生率爲1.75：1（女：男）。所有乳腺炎均爲單側性，且無全身性症狀。 所有病例報告以針頭抽吸，切開術，或自然破裂等方式護得乳房之膿性分泌物，並進行革蘭氏染色檢查及細菌培養。九例發現有革蘭氏陽性球菌，其中八例後來能培養出黃色蔔萄球菌。我們認爲在尋找新生兒乳腺炎之病原菌時，革蘭氏染色抹片是一種迅速且有效之診斷方法。近年來有大腸菌屬乙種鏈球菌所引起之生兒乳腺炎病例報告，但在本報告中並未發現這種病例。 治療上，用適當之抗生素以及若有化膿現象則予以外科方式切開引流。所有病例癒後皆良好。一般而言，我們所觀察到的新生兒乳腺炎之臨床表現和國外文獻比較並沒有明顯的差異存在。
關鍵字
無資料並列摘要
Eleven cases of neonatal mastitis diagnosed at National Taipei College of Nursing Health Center, Since 1983, have been reviewed by chart retrospectively. All 11 cases occurred in full-term infants 1-4 weeks postnatally. Famale predominated with male: female ratio of 1:1.75. The mastitis of these cases were confined to unilateral side and did not spread systemically. Gram stain smear of the purulent material got from aspiration, incision or spontaneous rupture of abscess were attempted in ten cases and Gram positive cocci were observed in nine of whom pus culture yield staphylococcus aureus later in eights. We feel Gram stain is one of the rapid and useful diagnostic method. Treatment was give by appropriate antibiotics parenterally followed by surgical incision or drainage when fluctuation was present. The prognosis of neonatal mastitis is excellent. In general, these our clinical observation are similar to those descrived in the literatures since 1950s.
延伸閱讀
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