论文部分内容阅读
病历摘要男性,1岁2月,因反复发热2月余,进行性面色苍白1月。于1984年9月11日入院,患儿于2月前无明显诱因反复发热。8月中旬突然高热、咳嗽、气促,谓“右侧胸积液”入市某区院。住院期间两次胸穿抽出血性胸积液,肝大肋下7厘米,B型超声波示:肝脏未发现赘生物。血培养:白色葡萄球菌。先后用青霉素、庆大霉素,地塞米松治疗并输新鲜血后病情好转,体温正常,胸积液基本消失,肝缩小至2厘米。出院诊断:葡萄球菌败血症并右侧血性脓胸。出院后患儿因持续低热,面色苍白,精神困倦转至我院治疗。
Summary of medical records Male, 1 year old in February, due to repeated fever more than 2 months, progressive pale January. On September 11, 1984 admitted to hospital, children with no obvious cause of repeated fever in 2 months ago. In mid-August suddenly high fever, cough, shortness of breath, that “right chest fluid” into the city of a hospital. Breast puncture hemorrhagic thoracic fluid twice during hospitalization, 7 cm of the rib cage, B-mode ultrasound showed: No liver vegetation. Blood culture: Staphylococcus aureus. Has penicillin, gentamicin, dexamethasone treatment and lose new blood condition improved, normal body temperature, hydrothorax disappeared, the liver reduced to 2 cm. Discharge diagnosis: staphylococcal septicemia and right hemoptysis. Discharged children with persistent fever, pale, mental drowsiness to our hospital for treatment.