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1 病例介绍 患儿,男,6岁。因头痛、发热,皮肤瘀点瘀斑逐渐增多扩大融合成片,诊断为流脑败血症。因瘀斑继发感染,高热不退,于病程第10天转来我院。T38.6℃,P94次/min,R26次/min,一般情况差,贫血,心肺正常。患儿全身多处皮肤瘀点瘀斑,溃烂化脓或干性坏死,按烧伤九分法计算,颜面3％,两上肢14％,会阴1％,两下肢41％,占体表总面积59％;化脓占体表总面积39％。红细胞3.1×10~(12)/L,白细胞18×10~8/L,中性0.82,淋巴0.18。脓液培养为金黄色葡萄球菌。药敏试验仅对万古霉素和丁胺卡那霉素等中度敏感。
1 case description Children, male, 6 years old. Due to headaches, fever, skin petechia eczema gradual increase in integration into a piece, diagnosed as meningitis. Secondary ecchymosis due to infection, high fever, in the course of the first 10 days transferred to our hospital. T38.6 ℃, P94 times / min, R26 times / min, the general situation is poor, anemia, cardiopulmonary normal. Children with multiple skin petechia ecchymosis, ulceration suppuration or dry necrosis, burns nine points method, the face 3%, two upper limbs 14%, 1% of the perineum, two lower limbs 41%, accounting for 59% of the total body surface area, ; Purulent total surface area of 39%. Erythrocytes 3.1 × 10-12 / L, white blood cells 18 × 10-8 / L, neutral 0.82, lymph 0.18. Pus culture Staphylococcus aureus. Susceptibility testing is only moderately sensitive to vancomycin and amikacin.