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患儿,男,24天,第2胎2产,孕33周早产。因拒乳2天,当地医院输注10％葡萄糖每小时10ml共50ml(相当于每分钟12.8ml/kg)及抗生素连续2天不见好转而来我院。查体:体重1300g,体温不升,反应差,而色灰暗,哭声弱,口周微绀,前囟平,心率120次,律齐,双肺呼吸音粗糙,腹软,肝脾不大,双大腿外侧硬肿。实验室检查:血糖55.9mmol/L,尿糖++++,血培养为绿脓杆菌。入院时诊断:新生儿败血症,医源性高血糖,新生儿硬肿症,早产儿,极低体重儿。
Children, male, 24 days, the second child 2 births, 33 weeks pregnant premature birth. Due to breastfeeding 2 days, local hospital infusion of 10% glucose 10ml per hour a total of 50ml (equivalent to 12.8ml / kg per minute) and antibiotics for 2 days did not improve to come to our hospital. Physical examination: weight 1300g, body temperature does not rise, the reaction is poor, and dark gray, crying weak, perioral cyanosis, anterior fontanel, 120 heart rate, law Qi, lung breath sounds rough, abdomen soft, , Double thigh outside the sclerosis. Laboratory tests: blood glucose 55.9mmol / L, urine + + + +, blood culture for Pseudomonas aeruginosa. Admission diagnosis: neonatal sepsis, iatrogenic hyperglycemia, neonatal sclera, premature children, very low birth weight children.