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患儿男,3天,因呕吐暗红色血性液体10余小时入院。第二胎第二产,足月顺产,羊水早破9小时,产时无窒息。生后时有呕吐淡黄色液体,第三天始呕吐暗红色血性液体,共7~8次,无发热和腹胀。生后24小时排胎粪,无便血和黑便,尿量较少,未开奶。母孕期体健。父母非近亲婚配,家族中无遗传病史。体格检查:体温37.7℃,心律150次,呼吸50次,体重2900g。发育营养中等,反应尚好,皮肤轻度黄染,无出血点,头颅无血肿,两肺无罗音,心音有力,无杂音,腹不胀,脐部无渗血,肝肋下1cm,脾未及,四肢肌张力正常,吸吮,
Children male, 3 days, due to vomiting dark red bloody fluid more than 10 hours admitted. Second child second-term, term full-term, amniotic fluid premature rupture 9 hours, without asphyxia during birth. Vomiting after birth, pale yellow liquid, the first three days vomit dark red bloody liquid, a total of 7 to 8 times, no fever and bloating. 24 hours after birth row of meconium, no blood in the stool and melena, urine less, not milk. Pregnancy and body health. Parents non-relatives marriage, family history of no genetic disease. Physical examination: body temperature 37.7 ℃, heart rate 150 times, breathing 50 times, weight 2900g. Moderate development of nutrition, the reaction is still good, the skin mild yellow dye, no bleeding point, no head skull, two lungs without rales, strong heart sound, no noise, abdominal distension, umbilical bleeding, liver ribs 1cm, spleen And, limb muscle tone normal, sucking,