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我院在儿科临床应用聚合酶链反应(PCR)技术,直接探索3例患儿体内病原体的存在,有利疾病的早期诊断、早期治疗,现报告如下。例1男,5岁。因发热、咳嗽一周,经青霉素160万 u/日肌注无效入院。体检:T39.5℃,咽红,扁桃体Ⅰ°肿大,无渗出物。两肺呼吸音粗糙。腹软,肝脾未及。神经系统检查阴性。实验室检查:血 WBC8.1×10_9/L,N0.86。血肥达氏反应阴性,肝功能正常,ASO<500U,ESR 102mm/h,血钾2.7mmol/L。血、尿培养均未见细菌生长。B 超肝脾正常。EKG 正常。X 线胸片示右下肺大片状致密阴影,边界模糊。入院后用先锋
Our hospital in pediatric clinical application of polymerase chain reaction (PCR) technology to directly explore the presence of pathogens in 3 children, beneficial early diagnosis of disease, early treatment, are as follows. Example 1 male, 5 years old. Due to fever, cough week, 1.6 million u penicillin per day by intramuscular injection invalid admission. Physical examination: T39.5 ℃, throat red, tonsil I ° enlargement, no exudate. Breathe sound rough between the two lungs. Abdomen soft, liver and spleen not yet. Negative neurological examination. Laboratory tests: blood WBC8.1 × 10_9 / L, N0.86. Blood fat Darth negative reaction, normal liver function, ASO <500U, ESR 102mm / h, potassium 2.7mmol / L. Blood, urine culture were no bacterial growth. B super-liver and spleen normal. EKG is normal. X-ray showed the right lower lung large dense shadow, fuzzy boundaries. Pioneer after admission