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患儿男,日龄24 d,以“气促10 d,伴呛奶、哭声减弱4 d”为主诉人院。患儿系第1胎第1产,孕40 周在某私人诊所阴道顺产,脐带、羊水、胎盘及 Apgarr评分均不详,出生体重2900 g。生后哭声响亮,入院前10 d出现气急,入院前4 d出现呛奶,哭无声音,故来我院就诊。生后精神较差,吃奶慢,喜睡觉,无惊厥及呕吐,大小便正常。父母均健康,非近亲结婚。母孕期健康,无服药、放射线及毒物接触史,无素食史。否认类似家族史。查体:T 36℃、 P 135次／min、R 55次／min、W 2950 g,营养状况差,
Children with male, day-old 24 d, with “shortness of breath 10 d, with choking milk, crying weakened 4 d” main complaint hospital. Children with first birth of the first fetus, 40 weeks pregnant in a private clinic vaginal birth, umbilical cord, amniotic fluid, placenta and Apgarr scores are unknown, birth weight 2900 g. Crying after birth, 10 d before admission, shortness of breath, 4 d before admission appeared choking milk, crying without sound, it came to our hospital. Poor health after birth, slow feeding, hi sleeping, no convulsions and vomiting, normal urine. Parents are healthy, non-relatives get married. Pregnancy during pregnancy, no medication, radiation and toxic contact history, no vegetarian history. Denied similar family history. Examination: T 36 ℃, P 135 times / min, R 55 times / min, W 2950 g, poor nutritional status,