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患儿、男、13天,因咳嗽,拒乳,反应差四天入院。患儿不足月顺产,生后哭声响亮,无窒息、母乳喂养。4日前无任何诱因开始有吸吮差精神不振,无吐泄、呼吸困难、抽搐。等曾在当地医院按“脐炎”、“败症血”治疗2天无效转我院。母孕期体健、家中成员体健。查体:体温37.4℃,脉搏140次、呼吸45次,体重2.2kg’消瘦’反应差’无呼吸困难’全身皮肤中度黄染’无皮疹’前囱平’口周微发绀’口腔粘膜光滑’咽’心
Children, male, 13 days, due to cough, refuse milk, poor response to admission for four days. Children with less than monthly production, loud cry after birth, no asphyxia, breastfeeding. 4 days ago without any incentive to start sucking poor mentally retarded, no spit-off, breathing difficulties, convulsions. Had in the local hospital according to “omphalitis”, “blood failure” treatment 2 days invalid transfer to our hospital. Pregnant women during pregnancy, members of the body health. Physical examination: body temperature 37.4 ℃, pulse 140 times, breathing 45 times, weight 2.2kg ’emaciation’ poor response ’no breathing difficulties’ systemic skin moderate yellow dye ’no rash’ Qianqianping ’perioral micro-cyanosis’ oral mucosa smooth ’Throat’ heart