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患儿男,年龄4个月。1993年5月8日因全身青紫20分钟送诊。病史:发育正常,无发绀史。生后母乳和奶粉混合喂养2个月,随后单用母乳喂养。发病当天改用奶粉喂养2次。后1次离发病3小时,当日来喂过其他食物或药物。体检:神清,烦躁、体温36.8℃,R34次/分,唇、舌,全身皮肤重度青紫。无鼻翼搧动,无吸气三凹征,心律整齐、心率100次/分,心前区无膨隆,未闻杂音;双肺呼吸音对称、清晰,叩诊清。腹平软、肝于右肋下仅及;未见杵状指(趾)。实验室检查:末梢血WBC98×10_9/L,NO.47,L0.53,RBC4.01×10~(12)/L,Hb 1238/L,血气分析PCO_20.52kPaPio_20.29kPa。抽血时发现血液里紫黑色,暴露
Children male, age 4 months. May 8, 1993 due to body bruising 20 minutes for diagnosis. History: normal development, no history of cyanosis. After birth breast milk and milk powder mixed feeding for 2 months, followed by breastfeeding alone. On the day of the change to milk powder feeding 2 times. After the first episode of 3 hours, the same day to feed other foods or drugs. Physical examination: Shen Qing, irritability, body temperature 36.8 ℃, R34 beats / min, lip, tongue, systemic severe bruising. No nasal flap fan, no suction three concave sign, tidy heart rhythm, heart rate 100 beats / min, precordial no bulging, no unheard noise; lung breath sounds symmetrical, clear, percussion clear. Abdomen soft, liver in the right rib only; no clubbing finger (toe). Laboratory tests: peripheral blood WBC98 × 10_9 / L, NO.47, L0.53, RBC4.01 × 10-12 / L, Hb 1238 / L, blood gas analysis PCO_20.52kPaPio_20.29kPa. When blood was found in blood purple, exposed