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患儿,男,28天。因发热10余天入院。系34周早产,生后因窒息住院治疗,痊愈出院。近10天,病儿发热,体温波动在37—38℃,进奶可,有时呛奶。查体:发育营养欠佳,头颅无畸形,前囟2cm×2cm,张力不高,心肺正常,脐部少许渗出,诊为新生儿败血症。入院后查体,Hb150g/L,WBC×10~9/L,N74％,L24％,M2％血小板290×10~9/L,血培养:6天培养无细菌生长,细菌L型培养为表皮葡萄球菌,给氨苄青霉素,庆大霉素等治疗,仍发热,出现抽搐,查体:前囟饱满,颅缝宽,脑脊液常规:微黄,潘氏试验(++),细胞数3600×10~6/L,多核80％,单核20％,糖1.1—1.65mmol/L,脑脊液培养
Children, male, 28 days. Due to fever more than 10 days admitted to hospital. Department of 34 weeks premature birth, after birth due to suffocation hospital treatment, discharged. Nearly 10 days, the sick child fever, body temperature fluctuations in 37-38 ℃, into the milk can be, sometimes choking milk. Physical examination: developmental malnutrition, head deformity, bregma 2cm × 2cm, tension is not high, normal heart and lung, umbilical a little exudation, diagnosed as neonatal sepsis. After admission, Hb150g / L, WBC × 10-9 / L, N74%, L24%, M2% platelets 290 × 10-9 / L, blood culture: 6 days without bacterial growth, bacterial L- Staphylococcus aureus to ampicillin, gentamicin and other treatment, still fever, convulsions, examination: full anterior fontanelle, cranial suture width, cerebrospinal fluid routine: yellow, Pan test (++), the number of cells 3600 × 10 ~ 6 / L, multi-core 80%, mononuclear 20%, sugar 1.1-1.65mmol / L, cerebrospinal fluid culture