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精确地、不带偏见地记录下婴儿猝死的晚期临床过程,是十分罕见的。本文报道1例严重细支气管炎痊愈后猝死于不能解释的过高热。一例12周龄女孩,为健康的、无亲缘关系父母的第3子,无重要医疗史;表现有4天的毛细支气管炎和日趋严重的呼吸窘迫。经48小时持续气道正压(CPAP)治疗,呼吸窘迫好转。入院后第6天,阵发性咳嗽伴有淋巴细胞增多(白细胞总数77.0×10~9/L,淋巴细胞46.O×10~9/L,提示患百日咳。在培养结果得出之前(结果为阴性)给予红霉素,小儿安静了18小时以上,此后继续好转。
Precisely, it is very uncommon to document the late clinical course of sudden infant death without prejudice. This article reports a case of severe bronchiolitis, sudden death after recovery from unexplained hyperthermia. A 12-week-old girl, who is a healthy, unrelated 3 rd parent, has no significant medical history; presents with 4-day bronchiolitis and worsening respiratory distress. After 48 hours of continuous positive airway pressure (CPAP) treatment, respiratory distress improved. On the sixth day after admission, paroxysmal cough with lymphocytosis (total number of white blood cells 77.0 × 10 ~ 9 / L, lymphocytes 46.0 × 10 ~ 9 / L, suggesting Pertussis.) Before the results of culture Was negative) given erythromycin, children quiet for more than 18 hours, then continue to improve.