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病例摘要患儿男,19天,因间断发热半月余,于90年1月12日入院。患儿自出生即发现低热,体温37～38℃。未予治疗。入院前4天因颜面及前胸散在小脓疹,以“脓疱病”收入当地儿童医院经水青及氨卡青霉素治疗4天,脓疱疹消退,体温仍未控制,转我院。第一胎孕40周,顺产,出生体重3.8kg,其母在化工厂工作,有苯汞化学药物接触史。妊娠早期有低热。入院查体:T:37℃,R30次,P130次。BP:60mmHg。精神面色可,皮肤未见皮疹出血点及黄染。颈腋腹股沟处可触及黄豆大淋巴结数个,活动,无粘连,前囟平2×2cm,咽稍红,心音有力,
Case Summary Male patients, 19 days, due to intermittent fever for more than a month, on January 12, 1990 admitted. Children born from the discovery of fever, body temperature 37 ~ 38 ℃. Not treated. Four days before admission due to facial and chest scattered in a small rash, “impetigo” income of the local children’s hospital by water cyanobacteria and ampicillin treatment for 4 days, impetigo faded, body temperature has not yet controlled, transferred to our hospital. The first pregnancy 40 weeks pregnant, natural delivery, birth weight 3.8kg, the mother in the chemical plant work, there is a history of exposure to phenyl mercury chemicals. Low heat in early pregnancy. Admission examination: T: 37 ℃, R30 times, P130 times. BP: 60 mmHg. No facial rash bleeding and yellow dye. Neck axillary groin can reach a few large soybean nodes, activity, no adhesions, anterior bland horizontal 2 × 2cm, throat slightly red, strong heart sounds,