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患婴男,42天。因发热2天伴轻咳,稀便入院,病前健康,无特殊病史。体检:T39℃,体重4kg,发育正常,营养良好,前囟1.5cm×1.5cm,平坦,咽充血,两肺呼吸音稍粗,心率130次,律齐无杂音,腹软稍膨,脐部见脐绒,附有少量黄灰色分泌物,稍有臭味,肝肋下1cm软,脾未触及,神经系统无病理反射,WBC32×10~9/L,N0.80,L0.20。初步诊断:1.上感。2.脐绒感染,败血症?入院后即予青霉素G钾盐400万u+10％GS150ml静滴,氨苄青霉素0.2+10％GS5ml静注每日二次等治疗。当青
Male with infants, 42 days. 2 days due to fever with light cough, loose stool admission, pre-sick health, no special history. Physical examination: T39 ℃, weight 4kg, normal development, good nutrition, anterior fontanel 1.5cm × 1.5cm, flat, pharyngeal congestion, lung breath sounds slightly thick, heart rate 130 times, law Qi no noise, abdominal soft bulge, umbilical See the umbilical velvet, with a small amount of yellowish gray secretions, a little odor, liver ribs 1cm soft, spleen not touched, the nervous system no pathological reflex, WBC32 × 10 ~ 9 / L, N0.80, L0.20. Preliminary diagnosis: 1. On the flu. 2. umbilical velvet infection, sepsis? After admission to penicillin G potassium salt 4 million u + 10% GS150ml intravenous infusion, ampicillin 0.2 + 10% GS5ml intravenous second treatment. When green