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患儿,男,27天,因拒乳,反应低下1天入院。患儿系双胎,孕32周早产,无羊膜早破,生后无窒息,出生体重1100克,生后第8天出现呕吐,拒乳,嗜睡,在外院诊为早产儿,新生儿硬肿症,治疗17天出院,出院第二天即来我院。查体:体温36.2℃,体重1300克,发育营养差,神清,反应低下,皮肤无黄染,前囟平坦,1×1cm,张力不高,心肺腹无异常,新生儿反射减弱。血常规:血红蛋白13.0g/L,红细胞4.3×10~(12)/L,白细胞12.7×10~9/L,中性72％,其中杆状核16％,分叶
Children, male, 27 days, due to refusal to milk, low response 1 day admission. Children with twins, 32 weeks pregnant premature birth, no premature amniotic membrane rupture, postnatal asphyxia, birth weight 1100 grams, 8 days after birth, vomiting, refusing milk, lethargy, diagnosed as premature children in the out-patient, neonatal sclerosis Disease, treatment 17 days discharged, the next day I was discharged to hospital. Physical examination: body temperature 36.2 ℃, weight 1300 g, poor nutrition, Shen Qing, the reaction was low, no yellow skin, anterior bland flat, 1 × 1cm, tension is not high, no abnormal heart and lung abdomen, neonatal reflex decreased. Blood: hemoglobin 13.0g / L, red blood cells 4.3 × 10-12 / L, white blood cells 12.7 × 10 ~ 9 / L, neutral 72%, of which 16% of the rod nuclei, leaves