切换至 "中华医学电子期刊资源库"

中华妇幼临床医学杂志(电子版) ›› 2013, Vol. 09 ›› Issue (04) : 498 -500. doi: 10.3877/cma.j.issn.1673-5250.2013.04.017

所属专题: 经典病例 文献

论著

先天性梅毒患儿75例的临床特点分析
雷巧玲1, 巨容1,*,*(), 肖甜甜1   
  1. 1. 610091 成都,成都市妇女儿童中心医院儿科
  • 收稿日期:2013-03-01 修回日期:2013-06-11 出版日期:2013-08-01
  • 通信作者: 巨容

Clinical Analysis of 75 Children With Congenital Syphilis

Qiao-ling LEI1, Rong JU1(), Tian-tian XIAO1   

  1. 1. Department of Pediatrics, Chengdu Women and Children's Central Hospital, Chengdu 610091, Sichuan Province, China
  • Received:2013-03-01 Revised:2013-06-11 Published:2013-08-01
  • Corresponding author: Rong JU
  • About author:
    (Corresponding author: JU Rong, Email: )
引用本文:

雷巧玲, 巨容, 肖甜甜. 先天性梅毒患儿75例的临床特点分析[J/OL]. 中华妇幼临床医学杂志(电子版), 2013, 09(04): 498-500.

Qiao-ling LEI, Rong JU, Tian-tian XIAO. Clinical Analysis of 75 Children With Congenital Syphilis[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2013, 09(04): 498-500.

目的

探讨先天性梅毒(CS)的临床特点,以及是否合并TORCH等其他感染与器官损害的关系。

方法

选择2006年2月至2010年10月在本院住院并确诊为CS的75例患儿的临床病历资料为研究对象。按照是否合并TORCH感染,将其分为单纯CS组(n=39)与CS合并TORCH组(n=36)。两组患儿年龄、性别等一般资料比较,差异无统计学意义(P>0.05)(本研究遵循的程序符合本院人体试验委员会制定的伦理学标准,得到该委员会批准,分组征得受试对象监护人的知情同意,并与之签署临床研究知情同意书)。对两组患儿在多系统损害和实验室检查结果等方面进行对比分析。

结果

单纯CS组与CS合并TORCH感染组在肝脾大,贫血,血小板计数减少,转氨酶水平升高,低蛋白血症及胸部X射线摄片方面比较,差异有统计学意义(P<0.05)。

结论

合并其他TORCH感染的CS患儿在呼吸系统、消化系统、血液系统的损害的发生率显著增加,转氨酶水平升高更明显,肝损害程度更严重。

Objective

To investigate clinical feature of the congenital syphilis (CS) and whether combined with other infections such as TORCH infection and organ damage.

Methods

From February 2006 to October 2010, 75 cases diagnosed as CS were included into this study. According to whether with or without TORCH infection, which were divided into pure CS group (n=39) and CS combined with TORCH group (n=36). General data of two groups had no significant difference (P>0.05). This study protocol was approred by the Ethical Review Board of Investigation in Human being of this hospital. Informal consent was obtained from guardians of children. The children in the two groups were compared and analyzed in multiple system lesions and laboratory test results, etc..

Results

In liver hepato splenomegaly, anemia, thrombocytopenia, elevated transaminases, hypoproteinemia and chest X ray, the difference of the children in group CS and group CS with TORCH infection were statistically significant (P<0.05).

Conclusions

The incidence of other organ damage in the respiratory system, digestive system, blood system increased significantly, aminotransferase levels increased obviously, the degree of liver damage was more serious in CS children combined with TORCH infection.

表1 合并TORCH感染的构成比[n(%)]
Table 1 The constituent ratio of children with CS combined with TORCH [n(%)]
表2 2组患儿临床表现[n(%)]
Table 2 The clinical manifestation of two groups [n(%)]
表3 2组转氨酶升高水平比较(U)
Table 3 Comparison of transaminase levels of two groups(U)
1
Wang GC, ed. Dermatovenereology[M]. Beijing: People's Medical Publishing House, 1994, 120.
2
Chen ZQ, Zhang GC, Gong XD, et al. Syphilis in china: Results of a national surveillance programme[J]. Lancet, 2007, 369(9556): 132-138.
3
Jing HZ, Huang DM, Guan XJ. Practical of neonatology. 3rd ed[M]. Beijing: People's Medical Publishing House, 2008, 359-362.
4
Hu YM, Jiang ZF, Zhu FT. Practical pediatrics. 7th ed[M]. Beijing: People's Medical Publishing House, 2002, 1022-1026.
5
Cao YX, Qiu LX, Zhang PL, et al. Study on the relationship between the history of abnormal pregnancy and TORCH infection in pregnant woman[J]. Chin J Obstet Gynecol, 1999, 34(9): 517.
6
Shen CY, Chang SF, Chao MF, et al. Cytomegalovirus recurrence in seropositive pregnant women attending obstetric clinics[J]. J Med Virol, 1993, 41(1): 24-29.
[1] 李博, 孔德璇, 彭芳华, 吴文瑛. 超声在胎儿肺静脉异位引流诊断中的应用价值[J/OL]. 中华医学超声杂志(电子版), 2023, 20(04): 437-441.
[2] 张禾璇, 杨雪, 王侣金, 李林洁, 刘兴宇. 新生儿葡萄糖-6-磷酸脱氢酶缺乏症筛查及基因突变特征分析[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(02): 200-208.
[3] 马海月, 南晓琴. 网织红细胞百分比/未成熟网织红细胞指数联合胆红素与白蛋白比值对新生儿溶血病的病情评估意义[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(01): 89-96.
[4] 徐珍娥, 杨娅丽, 徐晨霞, 向巴曲西, 王家蓉. 无创脑水肿监测技术在高原地区重度窒息新生儿脑水肿中的临床应用[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(01): 114-119.
[5] 姜舟, 唐立, 杨柳, 邹凌. 先天性甲状腺功能减退症患儿确诊时间的影响因素分析[J/OL]. 中华妇幼临床医学杂志(电子版), 2023, 19(06): 649-656.
[6] 李文琳, 羊玲, 邢凯慧, 陈彩华, 钟丽花, 张娅琴, 张薇. 脐动脉血血气分析联合振幅整合脑电图对新生儿窒息脑损伤的早期诊断价值分析[J/OL]. 中华妇幼临床医学杂志(电子版), 2023, 19(05): 550-558.
[7] 魏徐, 张鸽, 伍金林. 新生儿脓毒症相关性凝血病的监测和治疗[J/OL]. 中华妇幼临床医学杂志(电子版), 2023, 19(04): 379-386.
[8] 陈樱, 陈艳莉. 高龄孕妇心率变异性原因及围产结局分析[J/OL]. 中华妇幼临床医学杂志(电子版), 2023, 19(03): 295-301.
[9] 李聪, 徐艳, 吴铭, 丁瑞东, 王军. 极低出生体重儿出生时血清25-羟维生素D水平与其生后早期喂养不耐受关系的临床分析[J/OL]. 中华妇幼临床医学杂志(电子版), 2023, 19(03): 309-314.
[10] 张艳兰, 徐琳, 王彩英, 杨洪玲, 庞琳. 56例先天性梅毒新生儿的临床特征及预后[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(03): 163-169.
[11] 赵扬, 朱鏐娈, 王彩英, 万钢, 张慧敏, 苗敏, 董凯华, 徐琳, 庞琳. 26例新生儿水痘患儿的临床特征[J/OL]. 中华实验和临床感染病杂志(电子版), 2023, 17(06): 416-422.
[12] 张海金, 王增国, 蔡慧君, 赵炳彤. 2020至2022年西安市儿童医院新生儿细菌感染分布及耐药监测分析[J/OL]. 中华实验和临床感染病杂志(电子版), 2023, 17(04): 222-229.
[13] 路长贵, 唐维兵. 新生儿及小婴儿先天性胆管扩张症临床特征分析及微创治疗[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(02): 76-82.
[14] 李变, 王莉娜, 桑田, 李珊, 杜雪燕, 李春华, 张兴云, 管巧, 王颖, 冯琪, 蒙景雯. 亚低温技术治疗缺氧缺血性脑病新生儿的临床分析[J/OL]. 中华临床医师杂志(电子版), 2023, 17(06): 639-643.
[15] 周慧慧, 石洁, 陶晶晶. 探讨基于云平台的个案追踪管理在新生儿缺氧缺血性脑病出院后的应用[J/OL]. 中华脑血管病杂志(电子版), 2023, 17(06): 591-595.
阅读次数
全文


摘要