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患婴女,生后19小时,因足月低体重、生后体温不升收住院。系臀位牵引娩出,生后自然啼哭。查体:体温不升,脉搏100,呼吸40,体重2050g。精神萎靡,全身发凉。前囟3×3cm,平坦。神经系统无阳性发现。血、尿、便检查无异常。入院后暖水袋保温,经口摄入液量和热卡。肌注氨苄青霉素100mg/kg/日防治感染。4小时后体温恢复正常,精神好转,喂奶不吐。入院第8日体温升至37.8℃,脐轮红肿,脐根分泌物
Infants suffering from infants, 19 hours after birth, due to full-term low birth weight, postnatal body temperature does not rise to hospital. Department of breech traction delivery, naturally crying after birth. Physical examination: body temperature does not rise, pulse 100, breathing 40, weight 2050g. Apathetic, cold body. Bregma 3 × 3cm, flat. No positive neurological system found. Blood, urine, then check no abnormalities. After admission warm water bottle insulation, oral intake of fluid and heat card. Ampicillin intramuscular injection of 100mg / kg / day to prevent infection. 4 hours after the body temperature returned to normal, the spirit improves, feeding does not spit. Admission on the 8th body temperature rose to 37.8 ℃, umbilical redness, umbilical root exudates