论文部分内容阅读
患儿,男,11天,以纳差、吸吮无力、哭声低入院,系第一胎,第一产,八个月早产,Apgar 9分。查体:体温37.2℃,脉搏134次/分,呼吸30次/分,体重2.8kg,身长47cm,前囟平软,两上肢轻度内旋,两手呈鹰爪样。按“早产儿肺炎、败血症”给抗生素及对症处理,效差,并出现抽搐,每天发作数次至20余次,每次约30秒～1分钟,为口角、眼角小抽动,胸片示支气管肺炎,血培养阴性,脑电图正常,总蛋白53.8g/L,白蛋白31.8/gL,球蛋白23g/L,血锌19.28μmol/L,脑脊液微黄,透明,细胞数8×10~6/L,蛋白0.14g/L,尿
Pediatric, male, 11 days, with anorexia, sucking weakness, low crying hospitalization, first birth, first birth, eight months of preterm birth, Apgar 9 points. Physical examination: body temperature 37.2 ℃, pulse 134 beats / min, breathing 30 beats / min, weight 2.8kg, length 47cm, anterior bland soft, slightly upper extremity rotation, hands were eagle-like. According to “premature children pneumonia, sepsis” to antibiotics and symptomatic treatment, poor performance, and convulsions, episodes of several times a day to more than 20 times, each about 30 seconds to 1 minute for the mouth angle, corner of the small twitches, chest X-ray showed bronchus Pneumonia, blood culture negative, normal EEG, total protein 53.8g / L, albumin 31.8 / gL, globulin 23g / L, blood zinc 19.28μmol / L, cerebrospinal fluid yellow, transparent, the number of cells 8 × 10 ~ 6 / L, protein 0.14g / L, urine