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女,24天。因右乳房被挤捏后红肿12天,发热5天,拒乳1天入院。第一胎,足月顺产。母产前后无感染史。体检:体温38.1℃,心率160次,呼吸64次,体重4250g。神清,面色灰暗,反应差。右乳房4×4cm红肿,明显波动感。左足背踝部肿胀,拒按。左背部以4～5肋为主弥漫性红肿,境界不清,无波动感。轻度鼻扇和口周发绀,颈软,气管居中。心肺(一),肝肋下2.5cm,脾肋下1cm。血红蛋白15.4g,白细胞5380/mm~3,中性
Female, 24 days. Due to right breast squeeze pinching redness after 12 days, fever 5 days, refuse milk 1 day admission. The first child, full-term follow-up. No history of infection before and after motherhood. Physical examination: body temperature 38.1 ℃, heart rate 160 times, breathing 64 times, weight 4250g. Clear, dark complex, poor response. Right breast 4 × 4cm swelling, obviously fluctuating. Left ankle ankle swelling, refused to press. Left back to 4 ~ 5 rib-based diffuse swelling, the state is not clear, no fluctuations. Mild nasal fan and perioral cyanosis, neck soft, tracheal center. Heart and lung (a), liver ribs 2.5cm, 1cm spleen ribs. Hemoglobin 15.4g, white blood cells 5380 / mm ~ 3, neutral