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男,34天,因全身散在皮下结节状肿块20余天收入院。第一胎,第一产,足月剖腹产,产时重度窒息,并发颅内出血、肺炎,经抢救治疗病情好转。10天后全身出现皮下结节状肿块,在当地产院治疗,无明显效果,转来我院。起病后无发热。无呕吐,吃奶可,大小便正常。母乳加牛乳混合喂养。母亲体健,无糖尿病史。查体:体温37℃,心率、呼吸42次、体重3900g,发育营养中等,精神可,哭声宏亮,皮肤肌膜无黄染,呼吸平稳,前囟平坦,心肺无异常发现,腹平软,肝肋下1.5cm、质软。两面颊部、背部、臀部及四肢外侧部扪及较多皮下结节肿块,5×4～
Male, 34 days, due to systemic scattered subcutaneous nodular mass more than 20 days income hospital. The first child, the first birth, full-term caesarean section, severe obstructive obstetric, intracranial hemorrhage, pneumonia, the condition improved after treatment. 10 days after the body appeared subcutaneous nodular mass in the local hospital for treatment, no significant effect, transferred to our hospital. No fever after onset. No vomiting, feeding can be normal urine. Breast milk mixed feeding. Mother’s health, no history of diabetes. Physical examination: body temperature 37 ℃, heart rate, breathing 42 times, weight 3900g, the development of nutrition is medium, the spirit can, cry loudly, the skin sarcoma no yellow dye, stable breathing, flat anterior bland, no abnormal heart and lung, abdominal soft , Liver ribs 1.5cm, soft. On both cheeks, back, buttocks and lateral limbs palpable more subcutaneous nodules, 5 × 4 ~