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阴沟杆菌败血症少见,迄今未见小儿患病的报道.我们遇到1例白血病继发阴沟杆菌败血症,报告如下.患儿,男,7岁,因发热,关节痛,经骨髓象检查诊断急性淋巴细胞白血病,以 VP 方案,继之按序用柔红霉素、氨甲喋呤等,诱导缓解后回当地巩固治疗:入院前2天发热、口腔痛.查体:体沮38.6℃,四肢散在出血点,口腔粘膜溃疡.心肺正常.白细胞5.9×10~9/L,中性0.72淋巴0.25,血红蛋白85g/L,血小板90×10~9/L.再给强烈化疗,加氨苄青霉素、头孢唑啉静点,患儿高热不退,出血点增多,便血、鼻衄,
Cephalosporium sepsis rare, so far no reports of pediatric disease.We have a case of leukemia secondary to the bacillus sero-condyloma, the report is as follows.Patients, male, 7 years old, due to fever, joint pain, bone marrow examination by diagnosis of acute lymph Cell leukemia, to VP program, followed by daunorubicin, methotrexate, etc., induced remission back to the local consolidation treatment: fever 2 days before admission, stomatitis.Check the body: body temperature 38.6 ℃, scattered limbs bleeding point, Oral mucosal ulcer, normal heart and lung, white blood cells 5.9 × 10 ~ 9 / L, neutral 0.72 lymph 0.25, hemoglobin 85g / L, platelets 90 × 10 ~ 9 / L. Give strong chemotherapy, plus ampicillin, cefazolin static point , Children with high fever, bleeding increased, blood in the stool, epistaxis,