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例1,女,生后三天。其母为33岁高龄初产妇,妊娠足月,第二产程3小时50分钟,出生体重3.7kg,生后无窒息。生后三日母亲授乳时发现全身皮肤多处有暗紫色硬块。检查:患儿营养及一般情况均佳,哭声有力。皮肤所见,双侧面颊、肩、臀、股及脊柱两侧等受压部位均可触到大小不等、形状不一的硬性扁平肿块。小的1.5cm×1.5cm,大的2cm×2.5cm。脊柱两侧数个硬块为园形呈串珠样排列,其它部位单个存在,多为梭形或椭圆形,质地如木,对称分布,表面淡蓝色,不突出皮肤,指压无凹陷。其它检查无异常。按新生儿硬肿症给抗感染,保温,丹参及维生素E等治疗观察一周,肿块不见吸收。为明确诊断取样活检,病理报告符合皮下脂肪坏死症。出院随访四个月完全吸收。
Example 1, female, three days after birth. The mother of 33-year-old elder mothers, full-term pregnancy, the second stage of labor 3 hours and 50 minutes, birth weight 3.7kg, no suffocation after birth. Three days after birth, mother found lactating milk many dark purple lumps throughout the body. Check: Children’s nutrition and the general situation are good, clumsy and powerful. Skin seen, bilateral cheeks, shoulders, buttocks, strands and other pressure parts on both sides of the spine can reach the size of different sizes of rigid flat lumps. Small 1.5cm × 1.5cm, Large 2cm × 2.5cm. Several lumps on both sides of the spine are beaded in the shape of a beaded, other parts are single, mostly fusiform or oval, the texture is wood, symmetrical distribution, the surface is light blue, the skin is not prominent, no acupressure depression. No other inspection abnormalities. According to newborn scleredema to anti-infection, heat preservation, salvia miltiorrhiza and vitamin E and other treatment for a week, the mass is not absorbed. To confirm the diagnostic sampling biopsy, the pathology report is in line with subcutaneous fat necrosis. Four months after discharge were completely absorbed.