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患儿,男,12岁,因发热伴咳嗽5天入院。病前5天因受凉,骤起发热达39℃,无畏寒、寒颤,仅有单声咳嗽,无胸痛及血痰。查体:一般情况良好,高热面容、气平、咽红、二肺呼吸音粗,左下肺可闻及中细湿性罗音,无胸膜摩擦音。胸片示:左右下叶肺炎,左侧为甚。血象:白细胞32.6×10_9/L,中性85%,淋巴15%。入院诊断大叶肺炎。首先给予静脉注射青霉素治疗5天,热不退持续39.5℃～400℃以上。又先后用过先峰霉素V,洁霉素+氨苄青霉素、红霉素+丁胺卡那,均3～5天热仍不退,肺部罗音明显,无胸腔积液。因疑有G~-菌感染可
Children, male, 12 years old, admitted to hospital with fever and cough for 5 days. 5 days before the disease due to cold, sudden onset of fever up to 39 ℃, no chills, chills, only cough, no chest pain and bloody sputum. Physical examination: good in general, hot face, flat, red throat, lungs coarse sound of the lungs, the lower left lung can smell and fine wet rales, no pleural fricative. Chest radiograph showed: left and right lower lobe pneumonia, left side is even. Blood: white blood cells 32.6 × 10_9 / L, neutral 85%, lymph 15%. Admitted to diagnose lobar pneumonia. The first given intravenous penicillin treatment for 5 days, rebound continued 39.5 ℃ ~ 400 ℃ above. Has also been used before the peak of V, lincomycin + ampicillin, erythromycin + amikacin, are 3 to 5 days still hot, rales clearly lungs, no pleural effusion. Due to suspected G ~ - bacteria infection can be