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患儿男,孕35周早产,出生体重1700g,生后次日因生活低下转儿科监护治疗。查体:体温38℃,心率144次。呼吸40次,早产儿外貌,两肺偶闻干罗音,心律齐,心音有力,肝肋下1.5cm,脾未及。血红蛋白22.3g,白细胞12200,中性粒细胞92％,淋巴细胞8％。血沉2mm/第一小时,肝功正常,OT阴性,胸片示两肺散在小点状阴影,两肺门阴影增大。胃液未检出结核茵,B超检查未见异常。追问母病史孕25周起咳嗽、低热,分娩前呈恶液质状。产后2天胸片诊为血行播散型肺结核。入院后按先天性结核治疗,给链霉素50mg/d、雷
Children male, 35 weeks pregnant premature birth, birth weight 1700g, born the next day due to poor life turn pediatric custody treatment. Physical examination: body temperature 38 ℃, heart rate 144 times. Breathing 40 times, the appearance of premature children, even two lungs heard dry rales, heart Qi Qi, powerful heart, liver rib 1.5cm, spleen and time. Hemoglobin 22.3g, leukocytes 12200, neutrophils 92%, lymphocytes 8%. Erythrocyte sedimentation rate 2mm / first hour, normal liver function, OT negative, chest X-ray showed scattered in the little shadow of the two lungs, two hilar shadow increased. Gastric fluid was not detected in TB, B-ultrasound showed no abnormalities. Asked about the mother’s disease history of pregnancy from 25 weeks of cough, fever, before delivery was evil liquid quality. 2 days postpartum diagnosis of hematogenous chest X-ray disseminated tuberculosis. Congenital tuberculosis after admission by treatment, to streptomycin 50mg / d, Ray