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患儿,男,48天,体重3kg、因咳嗽、腹泻2天于1985年12月11日入院。小儿系第一胎、第一产,足月顺产,出生体重2700克,生后人工喂养,时有低热(37.8～38.1℃腋表),体重不增。体检:T36℃(R),反应差,皮下脂肪菲薄,皮肤弹性减弱,哭声低微,前囟平坦,呼吸浅表,44次/分,心音低钝,心率152次,两肺呼吸音粗,未闻及干湿性罗音,腹稍膨,肝肋下,1cm,质软,脾未及,四肢凉。血红蛋白8.28g,红细胞275万,白细胞9600,中性70%,淋巴29%,单核1%,“OT”1:200048小时阳性反应。入院后用氨芐青霉素控制感染,输血浆,补液等
Children, male, 48 days, weight 3kg, due to cough, diarrhea 2 days in December 11, 1985 admission. Pediatric first-born, first-born, term full-term, birth weight 2700 grams, after giving birth artificial feeding, sometimes fever (37.8 ~ 38.1 ℃ axillary), body weight does not increase. Physical examination: T36 ℃ (R), poor response, poor subcutaneous fat, skin elasticity weakened, low crying, flat breeze, shallow breathing, 44 beats / min, heart sounds low blunt, heart rate 152 times, Unheard and wet and dry rales, abdominal slightly swollen, liver ribs, 1cm, soft, spleen, and limbs cold. Hemoglobin 8.28g, erythrocytes 2750000, white blood cells 9600, neutral 70%, lymphatic 29%, mononuclear 1%, “OT” 1: 200048 hours positive reaction. After admission with ampicillin control infection, lose plasma, fluid and so on