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于某,女婴,生后38小时,首次排少量柏油样便。以后在5个小时内又连续排4次柏油样便,量逐次增多,共约130g。无恶心、呕吐、哭闹等症状。女婴足月顺产,分娩时亦无乏氧。家族史:其父母无溃疡病、上消化道出血史;其母在怀孕3～8个月期间经常感冒(达5次),常服扑热息痛,每次感冒服2～3天,每次1g,每天3次,共服扑热息痛30～45g。 检查:神态安静,面色苍白,口唇淡红,时有紫绀,皮肤无紫斑及出血点、无明显黄染。脉搏160次。两肺呼吸音清晰,无罗音。心音正常,腹部按压不哭闹,肝下界于右肋下2cm,质软,脾未触及,未扪及
In a, baby girl, 38 hours after birth, for the first time ranked a small amount of tarry stools. After 5 hours in a row 4 times in a row like asphalt, the amount of successive increases, a total of about 130g. No nausea, vomiting, crying and other symptoms. Baby baby full-term birth, childbirth is also no lack of oxygen. Family history: The parents of non-ulcer disease, the history of upper gastrointestinal bleeding; the mother during pregnancy 3 to 8 months often cold (up to 5 times), paracetamol service routine, each cold for 2 to 3 days, each 1g, every day 3 times, a total of paracetamol 30 ~ 45g. Check: quiet demeanor, pale, red lips, cyanosis when there is no skin purple spots and bleeding, no significant yellow dye. Pulse 160 times. Breath sounds clear both lungs, no rales. Heart sounds normal, abdominal pressure is not crying, the lower edge of the liver in the right rib 2cm, soft, spleen not touched, not palpable