- 期刊
Spontaneous Infection of Cephalhematoma: A Report of 4 Cases
新生兒頭顱血腫之自然感染症：四個病例報告
摘要
本文報告四例新生兒頭顱血腫之自然感染症，其中三病例為格蘭氏陰性桿菌之感染（Paracolon桿菌兩例，Proteus桿菌一例），另一病例為金黃葡萄球菌之感染，四病例均有發燒，拒食，頭顱血腫增大，貧血及白血球增多的現象，兩病例伴有不安與頭顱血腫之發紅與壓痛，一病例有腹脹。治療原則為頭顱血腫之切開與引流加上大量對格蘭氏陰性桿菌及葡萄球菌有效之抗生素。四病例中，三病例完全痊癒，僅一病例由於診斷延誤死於化膿性腦膜炎。
關鍵字
無資料並列摘要
Four newborn infants with spontaneous infection of cephalhematoma are presented. Three cases were infected with gram-negative bacilli, two with paracolon bacilli and one with proteus bacilli, and one case infected with staphylococcus aureus. Tendency to increase in size of cepalhematoma, fever and refusal of feeding presented in all 4 cases. Irritability, redness and tenderness over the cephalhematoma were observed in 2 cases. One case had abdominal distension. Anemia and leucocytosis presented in all 4 cases. Incision and drainage of cephalhematoma with extensive antibiotics to cover gram-negative bacilli and staphylococcus are treatment of choice. Only one case died of purulent meningitis because of delayed diagnosis. The other 3 cases survived.
並列關鍵字
無資料延伸閱讀
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