Neonatal tetanus caused by the old method of delivering nursing.doc

 PAGE \* MERGEFORMAT 9 Neonatal tetanus caused by the old method of delivering nursing [Keywords:] tetanus, neonatal, midwifery old law Neonatal tetanus, also known as “seven days the wind”, is caused by the tetanus bacteria invade the umbilical an acute infectious disease. Carry out the work with the Maternal and Child Health, the incidence of neonatal tetanus have decreased significantly, but No family planning in rural areas in our city and the old law the case of deliveries still occur, so neonatal tetanus still common [1]. pathogenesis mainly in the delivery, the application of tetanus bacteria contamination was sterilized scissors without breaking umbilical or midwife who hands dirty. The disease often swallowing, trismus, convulsions and other symptoms, severe apnea and even death can occur. control spasms, prevent infection, to ensure that nutrition is a sick child survived the three points, so Jishi treatment, intensive care is the key to reducing mortality. now nursing of 9 cases reported as follows. clinical data in our hospital from January 2002 to December 2007 were treated in neonatal tetanus in 9 cases, 5 cases were male and and 4 females, aged 2 to 11 days, all of the production at home, with dirty broken umbilical scissors, not timely disinfection treatment, incidence of 3 to 2 days, 4 to 7 days in 4 cases, 8 to 11 days in 2 cases. 1. Nursing Treatment and medication primary tumor treatment, to eliminate the primary infection. Neonatal tetanus is due to the improper handling production umbilical tetanus spores in the anaerobic environment, while the incidence of breeding. So the importance of umbilical deal, first wash with 3% hydrogen peroxide , and then cover with iodine, and then to the tetanus antitoxin 3000 ~ 5000 U Cullen closed (do first skin test before use in weight from 20 000 U in 5% glucose injection by intravenous drip. penicillin 200,000 U / (kg d) q 8 h (with a skin test before, metronidazole 40 ~ 50 mg / (kg d) bi