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病儿,女,15天。足月顺产、新法接生,无缺氧窒息史。因咳嗽伴发热7～8天入院。体检:体温38.8℃(肛温)、脉搏160次/分、呼吸56次/分,精神萎,前囟平,双侧瞳孔等大等圆,光反射迟钝,唇周稍紫绀。呼吸急促,两肺可闻及细湿罗音、心率160次/分,心音低钝。生理反射减弱,病理反射未引出。化验:血 WBC 32.7×10~9/L,N 0.27,L 0.73,血培养阴性。诊断新生儿肺炎。用青霉素、氨苄青霉素、激素等治疗后,咳嗽、肺部湿罗音消失。但患儿体温仍有波动,有阵发性哭吵、面色发灰。脑脊
Sick child, female, 15 days. Full-term follow-up, the new law delivery, no history of hypoxia and asphyxia. Due to cough with fever 7 to 8 days admission. Physical examination: Body temperature 38.8 ℃ (rectal temperature), pulse 160 beats / min, breathing 56 beats / min, spiritual wilting, anterior fontanel, bilateral pupil and other large circle, light reflection dull, slightly cyanotic lip weeks. Shortness of breath, lungs can be heard and fine wet rales, heart rate 160 beats / min, low heart sound blunt. Weakened physiological reflex, pathological reflex did not lead. Laboratory tests: blood WBC 32.7 × 10 ~ 9 / L, N 0.27, L 0.73, blood culture negative. Diagnosis of neonatal pneumonia. With penicillin, ampicillin, hormones and other treatment, cough, lung wet rales disappear. However, there are still fluctuations in children with temperature, paroxysmal crying, looking pale. Cerebrum