Wind of the disease incubation period is generally 4-12 days, with an average of seven days, the public has "locked Wind," "wind cord." "on the 7th Wind," "April 6 wind," said the first symptom of neonatal tetanus. speaking not breast pump (spasm induced).
Early in the disease, to eat and not eat a baby performance, the irritability, and she was not; Since then his facial spasm trismus, cite the amount of eyebrow wrinkles, numbness of the mouth to lead, and have a wry smile face, further development appeared convulsions. In the process of rapid development of newborns, more than 24 hours to complete. Chang Kok arch anti-convulsion there was a serious, or even frequently suffocate spastic bladder and rectum, can cause urinary retention and constipation. General sane, without fever or only low heat, may be due to high fever with severe seizure disorder, or caused serious than the prognosis.
Judge the severity of the disease, according to the following main points.
(A) The length of the incubation period
neonatal tetanus latency generally refers to the time from birth to the disease. The incubation period is short, the drug shows strong bacteria, the toxins, it was heavier. The incubation period is shorter than six days, the results are more serious; One set of data shows that in the short six-day incubation period, their death rate of 44.4% (11/25), and latency of up to six days, mortality was 20% (4 of 20 patients) is generally believed that incubation period longer than 10 days, the majority can cure.
(B) the twitch of time "twitch" refers to the onset of time. The time is getting shorter and shorter, the more severe the disease, time and more than 24 hours in any 24-hour period, a significant difference in mortality.
(3) the frequency and degree of twitch
This is the most important indicator to judge seriousness. Convulsion more frequent, longer duration of each twitch, the more serious condition.
(D) respiratory distress and cyanosis
serious tetanus patients, in addition to the frequent seizures, often recurring respiratory distress and cyanosis. Have respiratory distress and cyanosis of the reasons, probably the following factors :
¢Ù respiratory muscle and abdominal muscle cramps;
¢Ú laryngeal spasm;
¢Û stomach contents reflux airway;
¢Ü throat secretions excessive;
¢Ý convulsion caused severe cerebral hypoxia;
¢Þ overdose of sedatives inhibit the respiratory center;
¢ß lung infection.
Convulsion each other respiratory distress and, in serious cases, they become a vicious circle it is in this case the symptoms were more serious.
(5) the degree fever
high fever, in addition to infection, convulsion with serious or repeated asphyxia. It is therefore high fever, also serious cases.
(6) the availability of complications
more serious cases, there are complications. The most common complications of pneumonia, omphalitis, umbilical bleeding, sepsis, such as scleroderma and heart failure. '' Especially lung infection is the main cause of the disease the leading cause of death for children, should rescue.
Although neonatal tetanus is a serious illness for the past mortality high, but as long as we master the rules familiar with the treatment, the use of combination therapy, the majority of cases can be cured. About the danger of this disease is around 10 days after onset, if they can spend this period, due to the self-limited disease. Tetanus toxin combined with the nerve cells is temporary, can be resumed, it is expected to have recovered without sequelae.

This article was posted on 2007-02-27