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患儿,女,2(24/30)月,因咳嗽1天伴发热半天于1986年2月24日入院。检查:T39.3℃,P140次/分,R36次/分,体重7kg。一致情况可。无淤点。前囟2×2cm。心脏正常。呼吸音粗。腹部正常。神经系统体征阴性。诊断“上感、肺炎”?给洁霉素治疗,效果不佳。翌日前囟隆起,张力高。疑颅内感染,改用青霉素60万单位静滴,每8小时1次,氨苄青霉素200mg(kg.d),病情仍无好转。住
Children, women, 2 (24/30) months, 1 day due to cough fever with fever on February 24, 1986 admission. Check: T39.3 ℃, P140 times / min, R36 times / min, weight 7kg. The same situation can be. No siltation. Bregma 2 × 2cm. The heart is normal. Breath sounds thick. Abdomen normal. Nervous system signs negative. Diagnosis of “flu, pneumonia”? Give lincomycin treatment, the effect is not good. The next day before the fontanelle up, high tension. Suspected intracranial infection, penicillin 600,000 units switched to intravenous infusion once every 8 hours, ampicillin 200mg (kg.d), the condition still no improvement. live