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患儿,男,8天,系第一胎第一产。无产伤及窒息史。羊水早破十七个小时。母妊娠期间无感染及用药史。因黄疸4天,发热1天入院。体温37.8℃,脉搏140次/分,呼吸50次/分。营养发育良好。神志清,反应好,哭声响亮,前囟平软。巩膜及皮肤重度黄染。心肺正常,腹软,肝肋下1.5cm,质软。脐部有少许脓性分泌物。全身皮肤无皮疹及出血点。拥抱,觅食。握持反射存在。化验:白细胞12000,中性粒细胞60％,淋巴细胞40％。总胆红素19.2mg％。诊断:新生儿败血症,新生儿高胆红素血症。入院后及时抽血培养。并给予氨苄青霉素、邻氯青霉素控制感染、及纠酸、兰光照射、输血浆等治疗。黄疸消退、精神好,吃奶佳。但体温不稳定波动较大。于入院第5天体温上升至39.5℃。下午
Children, male, 8 days, the first birth of the first birth. No history of injury and asphyxia. Amniotic fluid premature break seventeen hours. During pregnancy, no infection and medication history. 4 days due to jaundice, fever 1 day admission. Body temperature 37.8 ℃, pulse 140 beats / min, breathing 50 beats / min. Nutrition is well developed. Conscious, good response, loud crying, soft anterior fontanel. Sclera and skin severe yellow dye. Cardiopulmonary normal, abdominal soft, liver ribs 1.5cm, soft. Umbilical a little purulent discharge. No skin rashes and bleeding points. Hug, foraging Grip reflex exists. Test: 12,000 leukocytes, 60% of neutrophils, lymphocytes 40%. Total bilirubin 19.2 mg%. Diagnosis: neonatal sepsis, neonatal hyperbilirubinemia. Timely blood culture after admission. And give ampicillin, cloxacillin control infection, and correct acid, blue light irradiation, plasma and other treatment. Jaundice subsided, good spirit, good milk. However, unstable body temperature fluctuations. Body temperature rose to 39.5 ℃ on the 5th day of admission. in the afternoon