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例1,4月男婴,以咳嗽三周、持续高热、生口疮一周为主诉入院。曾连续用多种抗生素近8周,其母患浸润性肺结核,该患儿未接种卡介苗。查体:体温38.9℃,精神欠佳,口腔粘膜及舌面布满白色假膜,易剥落,两肺呼吸音清,心肝脾无殊,腹胀,肠鸣音弱。结核菌素试验(一)。按口腔霉菌感染给制霉菌素半月,仍持续高热,给红霉素及氢考静滴,上述症状更加重,胸片见肺野散在点状影,疑肺结核,给链霉素、雷米封治疗,继续服制霉菌素,仍气促、神萎、哭声低微,8次咽拭
Example 1, April baby boy, with cough for three weeks, sustained high fever, a week for the main mouth aphthous admission. Has used a variety of antibiotics for nearly 8 weeks, his mother suffering from invasive pulmonary tuberculosis, the children were not vaccinated BCG. Physical examination: body temperature 38.9 ℃, poor health, oral mucosa and the tongue covered with white pseudomembrane, easy to peel, breath sounds clear lungs, heart, liver and spleen without special, bloating, bowel sounds weak. Tuberculin test (a). According to oral mold infection to nystatin for half a month, still sustained high fever, intravenous erythromycin and hydrogen test, the above symptoms are more serious, see the lungs scattered chest X-ray film, suspected pulmonary tuberculosis, to streptomycin, Treatment, continue to serve nystatin, still shortness of breath, Shen Wei, low cry, 8 pharyngeal swab