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病历摘要黄骏,男,出生1个月,江西人。于1978年11月10日因腹胀10天,哭吵、纳呆半天入院。患儿系第四胎、第二产,足月臀位产。出生时情况佳,出生体重3.3公斤,母奶喂养,纳佳,大、小便正常。入院前10天觉有腹胀,哭吵,时有溢奶,但不吐,每块尿布均有大便,黄色成形,便后腹胀未见缓解。入院前一天哭吵更剧,纳呆,急诊入院。病程中不吐,不咳嗽,尿正常。否认肝炎接触史。父、母非近亲婚配,均31岁,体健。母孕期无特殊疾病史,曾自然流产二胎。姐6岁,体健。入院体检:体温39℃,呼吸80次/分,神清,反应尚
Medical records Huang Jun, male, born 1 month, Jiangxi. November 10, 1978 due to abdominal distension for 10 days, crying noisy, half-day admission admitted to hospital. Children in the fourth child, the second production, full-term breech production. Good condition at birth, birth weight 3.3 kg, breastfeeding, Najia, large, normal urine. 10 days before admission feel bloating, crying noisy, when there is overflowing milk, but do not spit, each diaper has stool, yellow forming, then abdominal distension no relief. The day before admission crying more drama, poor appetite, emergency admission. Do not spit in the course of the disease, do not cough, normal urine. Denied the history of hepatitis exposure. Father, mother non-relatives marriage, are 31 years old, physical health. No special disease during pregnancy, had a natural abortion second child. Six-year-old sister, physical health. Admission medical examination: body temperature 39 ℃, breathing 80 beats / min, God clear, the reaction is still