病例摘要患儿女,2岁。因持续发热17天,咳嗽、呕吐2天入院。于入院前17天无诱因发热,体温在38～40℃之间,伴有寒战,烦躁,精神萎靡,纳差。入院前2天咳嗽,无痰,无抽搐。曾在外院按上感治疗,用青霉素5天,仍高热不退,又用氨基苄青霉素及氟美松12天。因医治无效转入我院。患儿为足月顺产第一胎。混合喂养。既住健康。父母健康,非近亲结婚,家族中无遗传性疾病。 Case Summary Children, 2 years old. 17 days due to persistent fever, cough, vomiting admitted to hospital for 2 days. 17 days before admission without incentive fever, body temperature between 38 ~ 40 ℃, accompanied by chills, irritability, apathetic, apathetic. 2 days before admission cough, no sputum, no convulsions. In the outer court by the sense of treatment, with penicillin 5 days, still high fever, but also with ampicillin and dexamethasone for 12 days. Because of medical invalid transferred to our hospital. Children with full-term first-born fetus. Mixed feeding. Living health. Healthy parents, non-relatives married, no genetic disease in the family.