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Clinical treatment of neonatal pneumonia and experience
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Clinical treatment of neonatal pneumonia and experience
[Keywords:] Clinical treatment of neonatal pneumonia
Neonatal pneumonia (neonatal pneumonia is a common disease of the neonatal period, in order to diffuse lung disease and its atypical clinical features, need early diagnosis and proper treatment. I clinical treatment of 126 cases, are as follows.
1 Clinical data
1.1 General information from 2000 to 2006, 126 cases of neonatal pneumonia were admitted, of which 56 cases of severe pneumonia, complicated with heart failure in 32 cases, 21 cases with seizures. All cases were confirmed by history, signs and X ray confirmed.
1.2 Methods (1 respiratory tract: recurrent net absorption oropharynx, nasal secretions, and maintain airway, inhalation, postural drainage, regular turning, shot back in favor sputum discharge. (2 oxygen when there is hypoxemia and monitoring of the condition of patients with nasal oxygen catheter, mask, hood and other methods of oxygen supply, severe respiratory failure, could be given positive pressure ventilation. (3 antibiotic therapy should be used for the pathogen of antibiotics, enzyme-resistant Staphylococcus aureus pneumonia can be Penicillin, the first-generation cephalosporins or amikacin, or Pseudomonas aeruginosa gram-negative bacteria resistant to common antibiotics were available third-generation cephalosporins, B group Streptococcus pneumoniae treated with penicillin ampicillin selection, 3 days later with large doses of penicillin, 10 to 14 days treatment, Listeria monocytogenes pneumonia can be ampicillin, cytarabine, or herpes simplex pneumonia can acyclovir, respiratory syncytial virus pneumonia, inhaled ribavirin available 3 to 7 day intravenous infusion of metronidazole and anaerobic infection of choice, chlamydia pneumonia, erythromycin can be used, a dose of 50 mg / (kg · d), a total of 2 to 3 weeks. (4 symptomatic and supportive treatment: a positive correction of low body tempe
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