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病例:男,18天,第三胎一孕,产34周自然分娩,体重2700克,母乳喂养。生后十四天,口腔粘膜反复出现白斑,吃奶差、溢奶收入院。父母体健,否认传染病接触史。体检:精神够,营养发育稍差,体温37.8℃,呼吸24次/分,脉搏140次/分,口周青,无鼻扇及三凹征,皮肤无黄染,双颊粘膜可见白色膜状物,心肺阴性,腹软,肝肋下1cm。血红蛋白193g/L,白细胞19.×10~9/L,中性粒细胞72％,淋巴细胞28％。诊断“新生儿鹅口疮、败血症?”
Case: Male, 18 days, the third child a pregnancy, 34 weeks of natural childbirth, weight 2700 grams, breastfeeding. Fourteen days after birth, repeated oral white mucosa, poor feeding, spilled milk income hospital. Parental health, denied the history of contagious diseases. Physical examination: Enough spirit, nutrition development slightly worse, body temperature 37.8 ℃, breathing 24 beats / min, pulse 140 beats / min, mouth Zhou Qing, no nose fan and the three concave sign, the skin without yellow dye, white cheek mucosa visible film Things, cardiopulmonary negative, abdominal soft, liver ribs 1cm. Hemoglobin 193g / L, white blood cells 19. × 10 ~ 9 / L, 72% of neutrophils, lymphocytes 28%. Diagnosis of “neonatal thrush, sepsis?”