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绿脓杆菌败血症并肺炎较为少见,倘警惕性不高甚易误诊,现报导一例。王×,女,1岁4个月。因低热3个月,咳嗽1个月,院外治疗无效入院。体查:体温36.7℃,呼吸32次,体重6.5公斤,营养差,面部、四肢及会阴部有指凹性水肿,腹壁皮下脂肪厚约0.2cm,眼睑红肿,睑缘有少许脓性分泌物,口角、齿龈与颊粘膜轻度糜烂,咽充血,扁挑体Ⅱ°肿大充血发红,双肺呼吸音粗,心率140次/分,肝右肋下3cm,肛周皮肤稍红。实验室检查:血红蛋白7克,白细胞17800,中性75％,淋巴
Pseudomonas aeruginosa sepsis and pneumonia is relatively rare, if the vigilance is not very easy to misdiagnosis, are reported in one case. Wang ×, female, 1 year old 4 months. 3 months due to fever, cough for 1 month, hospital treatment invalid admission. Physical examination: body temperature 36.7 ℃, breathing 32 times, weight 6.5 kg, poor nutrition, facial, limbs and perineum have concave edema, abdominal subcutaneous fat about 0.2cm, eyelid inflamed, eyelid margin a little purulent secretions, Mouth, gums and buccal mucosal mild erosion, pharyngeal congestion, Pan pick IIo enlargement congestion and redness, lung breath sounds crude, heart rate 140 beats / min, liver right rib 3cm, perianal skin a little red. Laboratory tests: 7 grams of hemoglobin, leukocytes 17800, 75% neutral, lymphatic