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患儿。女,13天,出生体重3000g。因发热3天,拒奶、吐沫、皮肤硬肿1天入院。查体:体温39.9℃,面色苍灰,反应差,呼吸浅促,心音低钝,心率180次,腹胀,肝肋下3.0cm,脐部有血性结痴,全身皮肤硬肿,前胸手背可见出血点。入院化验:血白细胞7500,中性粒细胞51%,淋巴细胞45,单核细胞4%,诊为新生儿败血症,硬肿症。即给予保温、吸氧、抗炎、纠正心衰、酸中毒以及其它综合措施下,病情一度好转。体温降至37.5~38℃,其后又加重,稽留高热,进行性贫血,
Children. Female, 13 days, birth weight 3000g. Due to fever for 3 days, refused to milk, spittle, skin edema 1 day admission. Physical examination: body temperature 39.9 ℃, pale gray, poor response, shallow breathing, heart sound low blunt, heart rate 180 times, abdominal distension, liver ribs 3.0cm, umbilical bloody knot, systemic sclerosis, chest back visible Bleeding point. Admission tests: blood leukocytes 7500, 51% of neutrophils, lymphocytes 45, mononuclear cells 4%, diagnosed as neonatal sepsis, scleredema. That is to give insulation, oxygen, anti-inflammatory, correct heart failure, acidosis and other comprehensive measures, the condition was improved. Body temperature dropped to 37.5 ~ 38 ℃, then aggravated, leaving high fever, progressive anemia,