病例 男婴,24d。因发热17d四肢活动少5d入院。第一胎足月产,我院产科出生。因宫内窒息行胎吸助产,生后评7分,5min后评9分。头部有6×6cm大产瘤。生后第7天患儿出现发热,体温38.7℃,精神差,全身皮肤有针尖大出血点及瘀斑,颈抵抗,心率210/min,心音低钝,双肺少许细湿啰音,肝肋下4cm,脾肋下3cm,末稍循环差。左臀部有压痛,局部无红肿。血常规WBC44.4×10~3/L,中性粒细胞84％,淋巴细胞14％,单核细胞2％。按败血症给氨苄青霉素、红 Case baby boy, 24d. Due to fever 17d less limb activity 5d admission. The first full-term fetal birth, obstetrics and gynecology was born in our hospital. Suction due to intrauterine fetal abortion midwifery, 7 points after birth, 5 minutes after the assessment of 9 points. The head has 6 × 6cm large tumor. 7 days after birth, children with fever, body temperature 38.7 ℃, poor spirits, the whole body has a sharp point of bleeding and ecchymosis, cervical resistance, heart rate 210 / min, low heart sound blunt, a little fine lung wet rales, liver ribs 4cm, spleen ribs 3cm, the end of a little poor circulation. Left hip tenderness, no local swelling. Blood WBC 44.4 × 10 ~ 3 / L, 84% of neutrophils, lymphocytes 14%, monocytes 2%. According to sepsis to ampicillin, red