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新生儿全身播散性真菌感染合并消化道穿孔一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Pediatrics
- Issue:
- 10
- DOI:
- 10.3760/cma.j.issn.0578-1310.2014.10.017
- Key Word:
- No keyword available
Abstract： 患儿 男,5d.因“发热3d,腹胀2d”于2013年6月收入湖南省儿童医院新生儿科.患儿入院前3d无明显诱因出现发热,体温最高40.2 ℃,伴哭闹不安,偶有呕吐,吃奶明显减少,大便黄糊,每日10次左右,量较少,有腥臭味,无抽搐.立即到当地医院住院治疗(出生后46 h),给予头孢哌酮抗感染、补液等支持对症治疗,并做血培养等检查.入院第2天出现腹胀且进行性加重,第3天照胸腹部立位X线片考虑为消化道穿孔,立即转入本院.患儿系第1胎第1产,足月经阴道分娩,否认宫内窘迫及窒息史,出生体重3 530 g,生后母乳喂养.父母身体健康,无特殊病史.
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