菌血症(bacteremia): 细菌短暂入血,无中毒症状,血菌落<100/ml 败血症(septicemia or sepsis): 病原菌(细菌、真菌)侵入血液、大量繁殖、 释放毒素引起的全身感染性疾病 毒血症(toxemia): 血内无菌,有中毒症状(毒素存在) 脓毒败血症(septicopyemia): 败血症伴多发性脓肿,若血培养阴性,为脓 毒血症(pyemia)

Rheumatoid Disease Connective tissue diseases (包含有120种与关节、骨骼、肌肉等相关的疾病) 过敏性紫癜(anaphylactoid purpura) 类风湿性关节炎(JRA) sle(systemic lupus erythematosis) 皮肌炎(dermatomyositis) 硬皮病(scleroderma) 风湿热(rheumatic fever) 川崎病(Kawasaki disease)

Congenital Heart Diseases (CHD)先天性心脏病 General concept CHD occurs in approximately6-8‰ live births In China, alone 250000 children with CHD are b0r€aC1yaT 30% of cases may die within first year of life The etiology remains unsolved Secondary prevention is the strategy at this stage

Nutritional requirements To live to grow and thrive, humans must take in nutrients from their environment Before birth there are supplied by the mother, but ereafter they must be ingested If too little is provided, the infant will not grow and may become ill, and too much may lead to toxicity or obesity

Nutritional requirements To live to grow and thrive, humans must take in nutrients from their environment Before birth there are supplied by the mother, but ereafter they must be ingested If too little is provided, the infant will not grow and may become ill, and too much may lead to toxicity or obesity

患儿,男,1小时,因“梅毒母亲患儿生后1小时”入院。 患儿系G2P1,孕38+6W,顺产,BW4192g, Apgar评分10 10’,羊水、脐带、胎盘无殊。其母孕6+月时发现RPR阳性(1:8) 于孕28+W及孕32+W时予罗氏芬治疗2疗程,分娩前测RPRl:4, TPPA1:80,为进一步诊治转入我院。 入院查体:T36.5℃H120次/分RR46次/分BP66/42(53)mmg神 志清,反应可,无气促,双肺呼吸音粗,未及罗音,心音有力

小儿惊厥 患儿,女,12月,因“发热1天,抽搐2次”入院。患儿于入院前1天夜里突 发高热,自服退热药后体温曾恢复正常,但有反复,于入院前6小时突然发生 四肢抽搐,伴两眼凝视,神志不清,持续约5分钟缓解,当时体温39.5C,4 小时后有类似抽搐一次,外院肌注安定后转至我院。病程中精神较差,胃纳减 少,无咳嗽、流涕、呕吐、腹泻等。发病前无不洁饮食史,既往无类似疾病 史,个人史和家族史无特殊

袁雨萌女 2岁5月 住院号:126618 主诉:发热11天 患儿11天无明显诱因下出现发热,予阿昔洛韦、头胞克洛 口服,体温无变化。8天前于外院静滴苯唑西林,利巴韦林等 抗感染,第2吸收入院,予凯兰欣,康得力等抗感染,体温以 下午波动于38.4-39.5℃,Tmax40.1℃,入院1天下午躯干、 背部出现斑片状皮疹及杨梅舌。第2天皮疹增加至颈部、大 腿,皮疹与发热无关,第3天皮疹渐消退,后出现手足肿胀

病例讨论一朱淑婷 患儿,女,7岁5月,江苏人,住院号:123598。 因“面色苍黄7年余,加重1周伴发热”入院于2005.3.13~3.22.自生后第 二天即出现皮肤黄染,未予诊治,黄疸减退但皮肤一直较苍白。4年前上 感时面色苍黄加重,至儿童医院查Hb48g/经检查诊断为“球红”(具体 资料未见),出院后随访Hb维持于70g/左右。近一周间歇发热伴尿色加 深、面色苍黄加重。否认贫血家族史

病史摘要一沈嘉腾 男、10岁2月 主诉:发现身材矮小4年 现病史:患儿系第一胎,第一产,足月,剖腹产,出生时无室息抢救史,生后 体重7.5斤,身长49cm,生后母乳一月,后奶粉。生后初胃纳可,后胃纳较 差,平素时有呕吐,无头痛,有胃痛史。4年前发现身材矮小,当时未测,平 均每年4-5cm/年。现身长133.5cm,体重2kg,在1SD~-2SD之间,其父 170cm,16岁开始发育,其母163cm,16岁开始发育,爷爷168cm,奶奶 158cm,外公175cm,外婆168cm,无抽搐,无多汗,无遗尿,无智力异常