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患儿男,9岁,因腹痛伴发热1月余入院。体检:T39.7℃,P120次/分,R36次/分,BP13.0/9.0kPa。中毒貌,全身浅表淋巴结未及,两肺呼吸音粗糙,未闻罗音,心脏听诊正常。腹胀明显,肝脏肋下3cm,轻压痛,腹水征阳性。神经系统检查无异常。实验室检查:Hb85g /L,WBC43.5×10~9/L,N95%,L5%;血沉86mm/h;腹水;李凡它试验+++,WBC7.5×10~9/L,N85%,L15%,血与腹水经培养均为金黄色葡萄球菌生长;OT试验阴性;大便镜检及潜血试验阴性;胸部X片示支气管肺炎。诊断为金葡菌败血症合并化脓性
Children male, 9 years old, due to abdominal pain with fever more than 1 month admission. Physical examination: T39.7 ℃, P120 beats / min, R36 beats / min, BP13.0 / 9.0kPa. Poisoning, systemic superficial lymph nodes, lungs, rough breathing sounds, did not hear rales, auscultation of the heart normal. Significant abdominal distension, liver ribs 3cm, mild tenderness, ascites sign positive. No abnormal neurological examination. Laboratory tests: Hb85g / L, WBC43.5 × 10 ~ 9/L, N95%, L5%; ESR 86mm / h; ascites; Li Fan it test +++, WBC7.5 × 10 ~ 9 / L, N85 %, L15%, blood and ascites were Staphylococcus aureus growth; OT test negative; stool microscopy and occult blood test negative; chest X ray showed bronchial pneumonia. Diagnosis of Staphylococcus aureus septicemia combined suppurative