【摘要】 目的:了解新生儿先天性梅毒的临床特点,提高早期诊疗水平。方法:对2002年6月～2010年6月收治的32例新生儿先天性梅毒患儿的临床资料进行回顾性分析,总结其临床特征。结果:32例先天性梅毒患儿中有22例因母亲因素被建议入院,10例患儿因自身异常入院。无症状性先天性梅毒8例(25.0%),有症状性先天性梅毒24例(75.0%)。在腰椎穿刺成功的17例患儿中,有10例(58.8%)患有神经梅毒。30例经青霉素治疗,29例恢复正常。结论:早期先天性梅毒症状多不突出,易被漏诊,正规青霉素治疗,预后多良好。腰椎穿刺应该成为先天性梅毒的常规检查。更多还原

【Abstract】 Objective: To study the clinical characteristics of neonatal congenital syphilis and improve its early diagnosis and treatment.Methods: Clinical data of 32 cases of neonatal congenital syphilis from June 2002 to June 2010 were analyzed and its clinical features were summarized.Results: In 32 cases,22 cases were advised hospitalization due to factors of mothers,10 cases were advised hospitalization due to their own abnormalities.Among them,asymptomatic and symptomatic congenital syphilis were 8 cases(25.0%)and 24 cases(75.0%) respectively.In 17cases with successful lumbar puncture,there were 10 cases(58.8%) with neurosyphilis.In 30 cases with penicillin treatment,29 cases recovered to normal.Conclusions:The newborns with congenital syphilis have no prominent symptoms in the early stage.The prognosis is good by regular treatment of penicillin.Lumbar puncture should be a routine examination of congenital syphilis.更多还原