Umbilical chakra redness
Introduction
Introduction If the newborn's umbilical cord is red and swollen, it means inflammation, and it is necessary to seek medical advice immediately. Because the umbilical fossa is slightly moist and the body temperature is suitable, it is a good growth and breeding base for bacteria. The umbilical part of the newborn, if the sterilization is not strict during delivery, or if the parents do not pay attention to it, it will cause inflammation, bleeding, exudation, pus, umbilical redness, etc.
Cause
Cause
Most of the neonatal umbilical care is not completely disinfected, bacteria invade and multiply, and then cause inflammation.
Examine
an examination
Related inspection
Blood routine umbilical examination
Pain in the umbilical fossa or ring umbilicus, congestion, edema. There are often serous secretions with odor, and the umbilical fossa is wet, and the umbilical circumference is swollen and tender. In severe cases, empyema in the umbilical fossa is accompanied by fever, and there may be lymph nodes in the groin. Occasionally spread to the periphery of the umbilicus, and deep infection, cellulitis and systemic symptoms.
Diagnosis
Differential diagnosis
More differential diagnosis with neonatal sepsis, the diagnostic criteria for neonatal sepsis are:
1. Mothers have prenatal or clinical infections, premature rupture of membranes, amniotic fluid contamination, prolonged labor and other medical history; children often have umbilical infection or skin and mucous membrane damage history.
2. Symptoms are often atypical, showing milk refusal, spitting milk, pale, irregular breathing, bloating or diarrhea, and mental wilting. If you have jaundice, hepatosplenomegaly, bleeding tendency and local infection, you should consider this disease.
3. Blood cultures 2 times or 2 to 3 specimens have the same bacteria and are consistent with the drug sensitivity test.
4. Rod-shaped nucleus neutrophil ratio 0.2; white blood cell count <5 × 109 / L or 3 days after birth > 20 × 109 / L; C-reactive protein 15 ug / ml; ESR 15 mm / h.
5. Cord blood IgM>20mg/L, suggesting that intrauterine infection may be.
Pain in the umbilical fossa or ring umbilicus, congestion, edema. There are often serous secretions with odor, and the umbilical fossa is wet, and the umbilical circumference is swollen and tender. In severe cases, empyema in the umbilical fossa is accompanied by fever, and there may be lymph nodes in the groin. Occasionally spread to the periphery of the umbilicus, and deep infection, cellulitis and systemic symptoms.
