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男婴,12天,孕3,产2,足月产,出生体重3550g,于生后第二天出现间歇性抽搐,发烧,拒奶。于日龄第四天,以新生儿肺炎,败血症收入院。母亲早孕期曾服避孕药,第一胎健在。体检:呼吸52次,脉搏132次,头围34cm,颅骨极软,前囟4cm,后囟3cm,颅缝分离1.0cm,心肺腹(-),拥抱反射(+),吸吮反射极差,肌张力较高。后囟穿刺取血,抽出约10ml类似脑脊液,深黄色、清亮,蛋白定性(+)。蛋白定量6g/L,糖1.72mmol/L,氯化物10403mmol/L。血钠126mmol/L、血糖、钙、镁、氯及血气分析均正常。按败血症并发化
Baby boy, 12 days pregnant 3, 2, full-term, birth weight 3550g, in the second days after birth, intermittent convulsions, fever, refuse milk. The fourth day of age, neonatal pneumonia, sepsis income hospital. The mother had contraceptives in her first trimester and her first child was still alive. Physical examination: Breathing 52 times, pulse 132, head circumference 34cm, skull very soft, bregma 4cm, bregma 3cm, cranial suture separation 1.0cm, cardiopulmonary abdominal (-), hugging reflex Tension higher. Posterior fontanel puncture blood, extract about 10ml similar cerebrospinal fluid, dark yellow, clear, qualitative protein (+). Protein quantitation 6g / L, sugar 1.72mmol / L, chloride 10403mmol / L. Blood sodium 126mmol / L, blood glucose, calcium, magnesium, chlorine and blood gas analysis were normal. Septicemia complicated by