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Abstract: In this article, the parents brought their newborn 10-day-old child to our hospital with poor mental health, significantly reduced milk intake, and bubble vomiting. A few fine wet rales could be heard in both lungs on lung auscultation, and the respiratory rate was slightly faster, about 50 breaths/min. Inflammatory exudative changes were seen in both lungs on chest radiographs, so the diagnosis of neonatal pneumonia was made and the child was admitted for further treatment. After 1 week of treatment with standard medication, the child’s symptoms improved, her mental response was acceptable, and her milk intake returned to normal.
Basic information】Female, 10 days
Disease Type】Neonatal pneumonia
Hospital】Shanghai Sixth People’s Hospital
Date of Consultation】June 2021
Treatment plan】Intravenous injection (amoxicillin sodium clavulanate potassium for injection)
Treatment Period】1 week of hospitalization
Effectiveness】The child’s symptoms improved, body temperature was normal, mental response was acceptable, and milk consumption resumed to normal.
I. Initial consultation
A mother came to the clinic with her child 10 days after birth. The mother said she found that the child had been eating less milk than before, about 60% of the usual amount, and was often breathless, drowsy and sleepy, while spitting up bubbles. On detailed physical examination, he had a uniform heart rate, strong heart sounds, a heart rate of 135 beats/min, a slight shortness of breath of 45-50 breaths/min, and a few fine rales in both lungs. The blood tests showed no significant abnormalities, but the chest X-ray showed inflammatory exudative shadow in the lungs, so the initial diagnosis was neonatal pneumonia, and the child was admitted to the hospital for standardized treatment.
II. Treatment process
After the child was admitted to the neonatal ward, he was given close care with cardiac monitoring, placed in a warm box, and intravenous access was opened.
III. Treatment effect
After 7 days of drug treatment, the child’s symptoms improved significantly, with no significant shortness of breath, normal body temperature, normal mental reaction, and milk intake. Subsequently, a series of laboratory tests showed no significant abnormalities, and the chest X-ray was reviewed and the exudate shadow was significantly better than before.
Three days after discharge, the child’s mental condition was relatively good under the mother’s careful care, and his vital response improved significantly.
IV. Notes
We are glad to see that the child’s disease has improved after active treatment. However, it is still necessary to advise the mother of the child that since most newborns have a weak resistance, the child should rest mainly at home after discharge and reduce the number of outings and visits by other people to prevent cross-infection or secondary infection. In addition, family members must wash their hands and change clothes in time after going out and returning home, and family members with colds should stay away from the child to avoid recurrence of the disease.
V. Personal insights
Most children, like the 10-day-old child in this article, may only show a decrease in milk consumption, drowsiness, and vomiting bubbles. Therefore, we remind parents of newborns to pay attention to their newborns’ mental state, milk consumption, breathing rate and the presence of respiratory distress. If there are obvious abnormal symptoms, you need to go to the hospital in time to avoid delaying the condition.