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患者女,18天。1981年8月15日因发烧、微咳、腹胀一天入院。母孕期体健,临分娩前曾发冷发烧一次,分娩后,因胎盘滞留致大出血,于住院期间又曾发冷发烧一次.查体:体温37.8℃,心率158次/分,皮肤巩膜明显黄染,前囱平软,双瞳等大等圆,对光反射存在,颈软,心(-),双肺呼吸音较粗糙,腹高度膨隆,腹壁静脉明显暴露,脐皮肤发红,较硬,有脓性分泌物,叩呈鼓音。移动性浊音(-),肝脾未及,肠鸣音活跃,生理浅反射迟钝,病理反射未引出。化验:白细胞12900,中性32%,淋巴68%,入院后抗感染等治疗,脐部感染痊愈,腹胀消失,黄疸渐退,但体温间日发烧一次,发烧前面、唇等轻度紫绀,全身缩为一团。胸透:心肺未见异常,至8月18日连查三次
Patient female, 18 days. August 15, 1981 due to fever, cough, abdominal distension one day admission. Pregnant women during pregnancy, before delivery had a cold fever, after delivery, due to bleeding caused by the retention of the placenta, during hospitalization and had a cold fever. Physical examination: body temperature 37.8 ℃, heart rate 158 beats / min, the skin clear yellow sclera Dye, the front of the chimney soft, double pupil and other large circle, the presence of light reflex, neck soft, heart (-), lung breath sounds rough, bulging belly height, abdominal veins significantly exposed, umbilical skin redness, harder , Purulent secretions, knocking drum sounds. Mobility dullness (-), liver and spleen are not, bowel sounds active, slow physiological shallow reflection, pathological reflex did not lead. Laboratory: white blood cells 12900, 32% neutral, lymphatic 68%, anti-infective treatment after admission, umbilical infection cured, abdominal distension disappeared, jaundice receded, but the body temperature once a fever, fever, lip and other mild cyanosis, Shrink into a ball. Chest throat: no abnormal heart and lung, until August 18 even check three times