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黄杆菌属败血症 例1,男,2 1/2岁,因发热6天,皮下自发性出血1 1/2天,呕血、便血、神志不清伴抽搐半天急诊入院。体查:体温38.4℃,脉搏100次,呼吸30次。血压90′70,发育营养中等,神志不清,呻吟,呼吸深快,皮肤巩膜未见黄染,瞳孔右>左,对光反应迟钝,鼻翼搧动,颈有抵抗感,心率100次,律齐,第一心音低钝,双肺呼吸音清,腹部高度胀气,肝右肋下5cm,质中等,脾大2cm,克布氏征(+),巴氏征右(一),左(+),全身皮肤可见针尖大小
Flavobacterium sepsis case 1, male, 2 1/2 years old, 6 days due to fever, spontaneous subcutaneous bleeding 1 1/2 days, vomiting, blood in the stool, confusion with convulsions half-day emergency admission. Physical examination: body temperature 38.4 ℃, pulse 100 times, breathing 30 times. Blood pressure 90’70, the development of moderate nutrition, confusion, moaning, deep breathing, skin sclera no yellow dye, pupil right> left, slow reaction to light, nose flap, neck resistance, heart rate 100 times, law Qi, the first heart sound low blunt, lung breath sounds clear, abdominal flatulence, right hepatic ribs 5cm, medium quality, splenomegaly 2cm, Bu Bushi sign (+), +), The tip of the body visible skin size