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男,28天。因发热一天伴抽搐10余次入院。系孪生第二胎,足月平产,新法接生。混合喂养。入院时体温38.7℃,脉搏160次,呼吸72次,体重3.2kg。急性热病容,双肺呼吸音粗糙,未闻罗音,腹膨隆。入院诊断:败血症,新生儿肺炎,高热惊厥原因待查。因右臀部及大腿后近臀处红肿疑为蜂窝织炎,经用青霉素,氨苄青霉素治疗,局部症状明显好转,体温下降,次晨又发热,排脓血便5～6次,考虑为急性菌痢而转入传染科。实验室检查:血红蛋白115g/L,
Male, 28 days. Due to fever with convulsions more than 10 times admitted. Department of twin second child, full-term peace of mind, the new law delivery. Mixed feeding. Admission temperature 38.7 ℃, pulse 160 times, breathing 72 times, weight 3.2kg. Acute fever, lungs rough breathing sounds, did not hear rales, abdominal bulging. Admission diagnosis: sepsis, neonatal pneumonia, febrile seizures to be investigated. Due to the right hip and thigh after the buttocks erythema suspected cellulitis, by penicillin, ampicillin treatment, local symptoms improved significantly, body temperature decreased fever the next morning, row of purulent blood 5 to 6 times, consider the acute bacillary dysentery And into the infectious diseases. Laboratory tests: hemoglobin 115g / L,