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患儿女,出生体重1. 9公斤,34周早产,母体健康。生后4周发现患儿呼吸暂停,病情重。腰穿显示脑脊液为脓性,含大量固紫阳性球菌,经培养鉴定为肺炎球菌。治疗:氨基苄青霉素600毫克/公斤/日,静注;氯化可的松90毫克/公斤/日,肌注;地塞米松3毫克/公斤/日,静注。鞘内注氨基苄青霉素25毫克7次,同时鞘内注氢化可的松25毫克4次。患儿反应性差,肌张力低,呈间歇性肌阵挛性惊厥,到第12天病情仍无改善,此后逐步恢复自主运动。在治疗两天以后脑脊液无菌,白细胞数减少,但蛋白仍高,糖含量
Children with children, birth weight 1. 9 kg, 34 weeks premature delivery, maternal health. 4 weeks after birth, children were found to have apnea and severe illness. Waist wear shows cerebrospinal fluid purulent, with a large number of solid purple positive cocci, identified as pneumococcal culture. Treatment: ampicillin 600 mg / kg / day, intravenous; cortisone 90 mg / kg / day, intramuscularly; dexamethasone 3 mg / kg / day, intravenous injection. Intrathecal injection of ampicillin 25 mg 7 times, while intrathecal injection of hydrocortisone 25 mg 4 times. Children with poor response, low muscle tone, showed intermittent myoclonic convulsions, the condition did not improve on the 12th, and then gradually recover from voluntary exercise. After two days of treatment of cerebrospinal fluid sterility, reducing the number of white blood cells, but the protein is still high, sugar content