论文部分内容阅读
患儿,男,23天。发热3天伴间断性抽搐半天,于1984年7月28日入院。体温38°5C,发育营养差,面色苍白,呈嗜睡状,前囟1.5×1.5cm,张力略高,双侧瞳孔等大,对光反射存在。颈软,心率120次,律齐,心前区可闻及Ⅱ级收缩期杂音。两肺呼吸音正常。腹部稍隆起,肝肿大平脐,脾左肋下2cm。双下肢可见散在出血性瘀斑。血红蛋白5g/dl白细胞22900,中性粒细胞42％,淋巴细胞58％。疟原虫未检出。镜下可见幼稚细胞。父母身体健康。入院后初步诊断为败血症?先天性白血病?立即血培养,并给予大
Children, male, 23 days. Fever for 3 days with intermittent convulsions for a long time, on July 28, 1984 admission. Body temperature 38 ° 5C, poor nutrition, pale, drowsy, anterior fontanel 1.5 × 1.5cm, slightly higher tension, bilateral pupil and so on, the presence of light reflex. Neck soft, heart rate 120 times, law Qi, precordial area can be heard and Ⅱ systolic murmur. Breath sounds normal both lungs. Abdomen slightly elevated, hepatomegaly flat umbilical, left splenic spleen 2cm. Both lower extremity scattered hemorrhagic ecchymosis. Hemoglobin 5g / dl 22900, neutrophils 42%, lymphocytes 58%. Plasmodium was not detected. Microscopic cells can be seen naive. Parents healthy. Initial diagnosis of sepsis after admission? Congenital leukemia? Immediate blood culture, and given large