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目的:探讨新生儿水痘的临床诊断、治疗方法及疗效。方法:对江西省儿童医院新生儿科2003-01/2009-03收治的9例确诊为新生儿水痘患儿的病历进行回顾分析。结果:2例先天性水痘病例合并内脏器官受累,皮疹分别持续121、4 d全部结痂,治愈出院;另2例先天性水痘病例及5例生后感染的后天性水痘患儿,经治疗2~5 d,热退,皮疹大部分结痂,无新皮疹出现,好转出院,无死亡病例。结论:新生儿水痘误诊率高,应尽快确诊,及时隔离并治疗,预后好。
Objective: To investigate the clinical diagnosis, treatment and efficacy of newborn chickenpox. Methods: Nine cases of children diagnosed with newborn chickenpox were retrospectively analyzed in neonatology department of Jiangxi Provincial Children’s Hospital from January 2003 to March 2009. Results: Two cases of congenital chickenpox were complicated with visceral organ involvement. The skin rash lasted for 121 and 4 days, respectively. All the scabs were cured and discharged. The other two cases of congenital chickenpox and 5 cases of acquired chickenpox after birth were treated by treatment 2 ~ 5 d, hot retreat, rash most of the scab, no new rash appeared, improved discharged, no deaths. Conclusion: The rate of misdiagnosis of chickenpox in newborn is high, it should be diagnosed as soon as possible, isolated and treated in time, and the prognosis is good.