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新生儿破伤风近年来仍有不断发病,此病目前尚无特效治疗方法,死亡率仍然较高。我院自1976～1986年共收治494例,现将我们在治疗中所摸索的点滴经验及教训与同道们磋商。病例概况 494例中,男355例,女139例,均来自农村,合并症以脐炎、肺炎及硬肿症为主。根据症状轻重及潜伏期的长短分为3型。 1.轻型牙关紧闭,四肢及躯干强直,无全身痉挛,潜伏期>14天,共51例。 2.中型牙关紧闭,肌紧张,苦笑面容,轻刺激即可引起痉挛,潜伏期7～14天,共89例。 3.重型牙关紧闭,苦笑面容,全身肌强直,有频繁严重的痉挛不易控制,角弓反张,发绀。潜伏期<7天,共354例。
Neonatal tetanus continues to occur in recent years, there is no effective treatment for this disease, the mortality rate is still high. Our hospital since 1976 to 1986, a total of 494 cases were treated, now we are in the treatment of the drip experience and lessons learned with their fellow consultants. Case overview 494 cases, 355 males and 139 females, all from rural areas, complications of omphalitis, pneumonia and sclerema-based. According to the severity of symptoms and the length of the incubation period is divided into 3 types. 1. Light teeth closed, limbs and torso rigidity, no body spasms, latency> 14 days, a total of 51 cases. 2. Medium-sized teeth closed, muscle tension, smile face, mild irritation can cause cramps, the incubation period of 7 to 14 days, a total of 89 cases. 3. Heavy teeth closed, smile face, body muscle rigidity, frequent severe spasms difficult to control, angle arch anti-Zhang, cyanosis. Incubation period <7 days, a total of 354 cases.