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例1患儿女性,生后50天,因哭闹拒乳,伴有发烧及间断性抽搐而入院。检查:T37.4℃,呼吸42次/分,心率162次/分,颜面发青,双目凝视,呼吸急促吐白沫,双眼睑浮肿。颈软,枕部有乒乓球感。有哈氏沟,两肺干性啰,心脏正常。腹胀,脐部红肿有黄色脓性分泌物,肝大质韧,脾未触及。白细胞64×10~9/L,血钙及血磷均正常,硷性磷酸酶4g单位。胸片示右肺感染。血培养有四联球菌生长,对羧基青霉素、庆大霉素、卡那、新链霉素敏感。经过肌注庆大、静滴丁胺卡那、输血浆、补钙、口服维E及脐部护理等综合治疗20天后,烧退、呼吸平稳,痊愈出院。例2 患儿男性,6个月,因发烧、咳嗽、气急、腹泻。就诊诊断为支气管肺炎,曾用青霉素及麦迪霉素无效。入院检查T39℃,颜面及口周发绀,呼吸急促,呈三凹征,哭声低。咽部充血、肺部闻及
Example 1 Children with children, 50 days after birth, due to crying milk, accompanied by fever and intermittent convulsions and admission. Check: T37.4 ℃, breathing 42 beats / min, heart rate 162 beats / min, facial hair blue, binocular staring, spit shortness of breath, double eyelid edema. Neck soft, pillow sense of ping pong. Hastelloy groove, dry both lungs, the heart is normal. Bloating, umbilical swelling with yellow purulent discharge, liver quality, tough, spleen not touched. White blood cells 64 × 10 ~ 9 / L, serum calcium and phosphorus are normal, alkaline phosphatase 4g units. Chest radiograph shows right lung infection. There are four cultures of blood cultures of cocci, carboxyl penicillin, gentamicin, kana, new streptomycin sensitive. After intramuscular injection of large amine, intravenous infusion of amikacin, plasma, calcium, oral vitamin E and umbilical care and other comprehensive treatment of 20 days, burn back, breathing stable, discharged. Example 2 Children with children, 6 months, due to fever, cough, shortness of breath, diarrhea. Diagnosis of bronchial pneumonia, had penicillin and midecamycin invalid. Admission examination T39 ℃, face and mouth week cyanosis, shortness of breath, showed three concave sign, crying low. Throat congestion, the lungs smell