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例1患儿男,26天,主因“发热、哭闹、左面部肿胀1天”收入院。患儿系第1胎第1产,足月自然分娩。出生前有宫内窘迫,胎膜早破20h,羊水Ⅱ度污染,生后无窒息。其母孕期健康。查体:T38.8℃,R50次/min,精神反应可,整个左面部红肿,范围约5cm×4cm,质较硬,局部皮温高,触痛明显,无波动感,双侧外耳道发育正常,无异常分泌物,左腮腺导管口红肿,挤压肿物可见白色脓液溢出,右侧腮腺导管口正常,心肺腹及神经系统未见异常。外周血WBC16.9×109/L,N0.64,L0.30,C反应蛋白2.6mg/L,血培养无细菌生长,左腮腺
Example 1 children male, 26 days, mainly because of “fever, crying, swelling of the left side 1 day ” income homes. The first birth of children in the first child, full-term natural childbirth. Prenatal intrauterine distress, premature rupture of membranes 20h, amniotic fluid Ⅱ degree of pollution, no suffocation after birth. Its mother during pregnancy. Physical examination: T38.8 ℃, R50 times / min, mental reaction can be, the entire left facial swelling, the range of about 5cm × 4cm, hard quality, high local skin temperature, tenderness, no fluctuations in both normal external auditory canal , No abnormal secretions, left parotid duct mouth swollen, squeezed mass visible white pus overflow, right parotid duct mouth normal, no abnormalities of the heart and lung abdomen and nervous system. Peripheral blood WBC16.9 × 109 / L, N0.64, L0.30, C-reactive protein 2.6mg / L, no bacterial growth in blood culture, left parotid gland