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患儿女,13天,出生体重3公斤。因发热3天,拒奶、皮肤硬肿一天入院。查体:T39.9℃,R80次/分,面色苍灰,反应差,哭声低,口周发绀,两肺呼吸音粗,心音低钝,心率180次/分,腹胀,肝肋下3.0cm,脐部血性结痂,全身皮肤暗红、冰冷、硬肿,前胸手背有瘀点。化验:血、尿、便常规如常。CO_2CP15%,胸片示肺部感染。诊为新全儿硬肿症;肺炎;脐炎。给予保温、吸氧、抗炎、西地兰、碱性液及肝素654-2激素、VE、VC、等综合措施下,病情一度好转,后又加重,稽留热,进行性贫血,WBC4×10~9/L,SF 2%,N38%,L60%,第5天左胸前瘀斑处出现水泡,局部皮温
Children with children, 13 days, birth weight 3 kg. Due to fever for 3 days, refused to milk, skin edema one day admission. Physical examination: T39.9 ℃, R80 beats / min, pale gray, poor response, crying low, perioral cyanosis, two lungs sound rough breath, heart sound low blunt, heart rate 180 beats / min, abdominal distension, cm, umbilical bloody scabs, body dark red, cold, hard swelling, chest back peculiar petechiae. Laboratory: blood, urine, they routine as usual. CO_2CP15%, chest X-ray showed lung infection. Diagnosis of new full-length scleredema; pneumonia; omphalitis. Given the insulation, oxygen, anti-inflammatory, cedilanid, alkaline solution and heparin 654-2 hormone, VE, VC, and other comprehensive measures, the condition was improved, then aggravated, missed the heat, anemia, WBC4 × 10 ~ 9 / L, SF 2%, N38%, L60%. On the fifth day, blisters appeared on the left chest with ecchymosis. The local skin temperature