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男,3岁。因头部及双下肢多发性疖肿,发热6天收治入院。体查:体温39.5℃,脉搏180次,呼吸40次,呼吸急促,精神萎糜,脱水。双肺呼吸音粗糙、腹平坦,未扪及肝脾。患儿头部有多处散在疖肿及脓疱疹,双下肢亦有散在的脓疱疹,手指及右足有局限性青紫瘀血斑块,右足背肿胀。血红蛋白95g/L,血小板54×10~9/L,白细胞8.6×10~9/L,中性0.75,淋巴0.25。入院诊断为:①头部多发性疖肿,②右足蜂窝织炎,③败血症。经抗感染,纠酸补液,输氧无效,患儿出现两眼上翻,叹息样呼吸,唇紫绀,用呼吸兴奋剂无效,9小时后死亡。
Male, 3 years old. Due to head and lower extremities multiple carbuncle, fever admitted to hospital for 6 days. Physical examination: body temperature 39.5 ℃, pulse 180 times, breathing 40 times, shortness of breath, wilting spirit, dehydration. Breath sounds lungs rough, flat belly, palpable liver and spleen. There are many scattered in the head of children with boils and impetigo, there are scattered in both lower extremities impetigo, fingers and right foot limitations bruising plaque, swelling of the right dorsal foot. Hemoglobin 95g / L, platelets 54 × 10 ~ 9 / L, white blood cells 8.6 × 10 ~ 9 / L, neutral 0.75, lymph 0.25. Admission diagnosed as: ① head multiple boil, ② right foot cellulitis, ③ sepsis. The anti-infection, correcting acid rehydration, oxygen is invalid, the children appear double up, sigh like breathing, lip cyanosis, with respiratory stimulant invalid, died after 9 hours.