论文部分内容阅读
女婴,20天,因发烧咳嗽憋气5天在外按“新生儿肺炎”治疗4天无效转来。查发育营养差、气急、唇绀、消瘦、反应低下,双肺少量干湿性罗音,心音低钝,180次/分,律齐,无杂音,肝大,剑、肋下3.5厘米,下肢凹陷性水肿,入院诊断为“肺炎、心衰”。经吸氧、静滴红霉素、氨苄青霉素、毒毛K、能量合剂、速尿等治疗4天,效果不佳。胸透:双肺纹理重,心影略大,右下肺示点片状边缘不清阴影。未做心电图,仍喘憋、呼吸困难,于住院第六天呼吸心跳骤停,做心内注射时抽出黄色脓性液体。镜检:蛋白++,
Baby girl, 20 days, cough suffocation due to fever 5 days Press “neonatal pneumonia” treatment 4 days invalid transfer. Check the development of poor nutrition, shortness of breath, cyanosis, leanness, low response, a small amount of lung wet and dry rales, low heart sound blunt, 180 beats / min, law Qi, no noise, liver, sword, ribs 3.5 cm, Depression edema, admission diagnosed as “pneumonia, heart failure.” After the oxygen, intravenous erythromycin, ampicillin, poisonous hair K, energy mixture, furosemide treatment for 4 days, the effect is not good. Chest throat: double heavy lung texture, slightly larger heart shadow, right lower lungs point edge flaky shadow. Still not electrocardiogram, still wheezing, breathing difficulties, respiratory arrest in the sixth day of hospitalization, intrapleural injection of yellow purulent liquid. Microscopy: protein ++,