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患儿,男,16天,因口烂、气促、痰鸣、拒奶于1982年9月22日入院。系第一胎,足月顺产。妊娠期中母感觉胎儿运动微弱。出生后哭声小,卧床上不能自动,吸奶力弱,易呛咳。常有痰鸣,呼吸表浅。生后第12天口烂、拒奶、呼吸促、痰鸣增加。查体:体温37.4℃,神清,反应差,呼吸浅快、规则。口腔粘膜有牛奶样物附着,有数个小溃疡。两眼等大,眼睑无下垂,对光反射存在。双侧胸部下陷。心率140次,律整,无杂音,两肺满布痰鸣音,少许湿罗音。腹稍胀,肝肋下2cm,脾未扪及。四肢肌张力低,刺激不能回缩,腱反射消失,无病理神经反射。胸片:右下支气管肺炎。入院诊断:1.支
Children, male, 16 days, due to rotten mouth, shortness of breath, phlegm, refused to milk on September 22, 1982 admission. Department of the first child, full-term birth. Mother feeling fetal movement during pregnancy weak. Crying after birth, bed can not be automatic, weak milk, easy to cough. Phlegm often, superficial breathing. Twelve days after birth mouth rotten, refused to milk, breathing, phlegm increased. Physical examination: body temperature 37.4 ℃, Shen Qing, poor response, shallow breathing, rules. Oral mucosa with milk-like attachment, there are several small ulcers. Eyes and other large, eyelid without sagging, the presence of light reflex. Bilateral chest subsidence. Heart rate 140 times, rhythm, no noise, lungs covered with phlegm, a little wet rales. Slight bulge, liver ribs 2cm, spleen not palpable. Limb muscle tension is low, stimulation can not be retracted, tendon reflex disappeared, no pathological reflex. Chest radiograph: lower right bronchial pneumonia. Admission diagnosis: 1. Branch