论文部分内容阅读
病历摘要患儿男,29天。第一胎足月顺产,在医院分娩。生后1周内接种卡介苗。脐带干10天脱落。生后半月时微热,轻咳并逐渐加重,有时吐奶。曾服清肺散与桃花散不见好转于生后29天疑诊肺炎、败血症入院。母孕期健康,双亲无结核史。查体:体温37.6℃,脉搏160次/分,呼吸52次/分.体重3kg。神清,呼吸急促,周身散在粟粒大小脓疱疹,浅表淋巴结不大,前囟平,口周发绀,颈软,左背部可闻及小水泡音。心音低钝,律整,无杂音,肝脾未扪及,双膝腱反射正常。白细胞4.76×
Medical records Male children, 29 days. The first term full-term birth, delivery in the hospital. BCG vaccination within 1 week after birth. Umbilical cord dry 10 days off. Half a month after birth, slightly warm, light cough and gradually increased, and sometimes spit milk. Had served Qingfei San and peach scattered no improvement in the 29 days after birth suspected pneumonia, sepsis admitted. Pregnancy during pregnancy, parents without tuberculosis history. Physical examination: body temperature 37.6 ℃, pulse 160 beats / min, breathing 52 beats / min body weight 3kg. Shen Qing, shortness of breath, whole body scattered miliary size impetigo, superficial lymph nodes, anterior fontanel, perioral cyanosis, neck soft, left back can be heard and small blisters sound. Low heart sound blunt, law, no noise, no palpable liver and spleen, tendon reflex normal. White blood cells 4.76 ×