论文部分内容阅读
患儿女,30天。因持续性黄疸27天伴呕吐、腹胀于1998年9月9日入院。患儿头胎,足月顺产,新法接生,出生体重3.1kg,生后第三天出现黄疸,第七天黄疸达高峰,之后黄疸有所减退,但颜面、胸背黄疸仍很明显,并持续不退。母乳喂养,哺乳后经常吐奶,有时哺乳后即吐,有时睡醒后仍有呕吐,呕吐非喷射性,伴轻度腹胀,排便少,每次排便后腹胀稍缓解。近一周腹胀明显加重,大便量少。其母妊娠三月时子宫Ⅱ°脱垂,妊娠五月有不明原因皮肤过敏史,妊娠八月查肝功示谷雨转氨酶(ALT)400U,未见其他异常,否认肝炎病史。体格检查,体温36.6℃,
Children with children, 30 days. 27 days of persistent jaundice with vomiting, abdominal distension on September 9, 1998 admitted. Children with first birth, term full-term birth, the new law birth, birth weight 3.1kg, jaundice on the third day after birth, jaundice on the seventh day reached a peak, after jaundice has diminished, but the face, chest and back jaundice is still obvious, and continued Not refundable. Breastfeeding, often after breast-feeding, that is, sometimes after breast-feeding vomiting, and sometimes wake up after vomiting, vomiting non-jet sex, with mild abdominal distention, defecation less, each bowel relief slightly relieved. Bloating significantly increased in the past week, less stool. The mother’s pregnancy in March when the uterus Ⅱ ° prolapse, pregnancy unexplained history of skin allergies in May, August pregnancy check liver function aminotransferase (ALT) 400U, no other abnormalities, deny the history of hepatitis. Physical examination, body temperature 36.6 ℃,