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病例:周××,发,20天,病历号57730。因阵发性青紫,呼吸急促三天,以新生儿肺炎,先心病(?),于91.4.4住院。患儿为足月顺产第一胎,孕母体健。生后无青紫、窒息、喘咳、口吐白沫及黄疸史。体检:T38℃,P150次,R50次,Wt4kg。面色青灰,口唇紫绀。心律齐,无杂音,心界不大。两肺呼吸音粗,偶闻少许湿罗音。肝肋下1cm,脾(-)。实验室检查:Hbl40g/L,WBC6.3 ×10~9/L,N 0.47,L 0.53,尿便常规电质及心肌酶谱均正常。血钙2.23mmol/L。胸部X线:双肺可见点片影。入院后给青霉素及氨苄青霉素,因血培养为金葡球菌,凝固酶(+),改用先锋必抗感染。患儿于入院当日0:30AM,突然阵发
Case: Zhou × ×, hair, 20 days, medical record number 57730. Due to paroxysmal bruising, shortness of breath for three days to neonatal pneumonia, congenital heart disease (?), Was hospitalized at 91.4.4. Children with full-term first trimester of pregnancy, maternal health. No cyanosis after birth, suffocation, cough, foaming at the mouth and jaundice history. Physical examination: T38 ℃, P150 times, R50 times, Wt4kg. Bright gray, cyanotic lips. Qi heart, no noise, little heart. Breath sounds coarse lungs, occasionally smell a little wet rales. Liver ribs 1cm, spleen (-). Laboratory tests: Hbl40g / L, WBC6.3 × 10 ~ 9 / L, N0.47, L0.53, urine routine electrical and myocardial enzymes were normal. Calcium 2.23mmol / L. Chest X-ray: the lungs can see some film shadow. After admission to penicillin and ampicillin, due to blood culture Staphylococcus aureus, coagulase (+), switch to vanguard will be anti-infection. Children at 0:30 AM on the day of admission, suddenly burst