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一、男婴,孕38周,孕母体健,人工破膜后自然娩出,生后未见异常。第三天发现萎靡、嗜睡、哭声无力、拒乳、黄疸进展迅速而急诊入NICU。体检:体温不升,反复出现呼吸暂停,重度黄染、肢冷发绀、皮肤发花且下腹部有瘀斑,前囟膨隆,肝肋下3cm,脾1cm,取血处血流不止。实验室检查:血红蛋白7.8g,红细胞308万,白细胞3500,血小板3.8万,红细胞压积51%,血浆蛋白7.1g/dl,钠142mEq/L,钾6.3mEq/L,氯112mEq/L,钙7.2mg/dl,血糖65mg/dl,胆红素25.8mg/dl,直接胆红素1.5mg/dl。脑脊液:外观淡黄色,细胞12,500,蛋白320mg糖15mg 氯化物55mg。FDP55mg/ml,纤维蛋白原20mg/dl。 (一)下列检查中哪些项异常? ①白细胞与血小板;②胆红素;③脑脊液检
First, the baby boy, 38 weeks pregnant, pregnant mother health, artificial rupture of the natural delivery, no abnormalities after birth. Found on the third day of malaise, drowsiness, crying weakness, refusing to milk, jaundice progress quickly and urgently into the NICU. Physical examination: body temperature does not rise, repeated apnea, severe yellow dye, cold limbs cyanosis, skin and lower abdomen ecchymosis, bulging anterior fontanelle, liver ribs 3cm, spleen 1cm, take blood more than blood flow. Laboratory tests: hemoglobin 7.8g, erythrocytes 3080000, leukocytes 3500, platelets 38000, hematocrit 51%, plasma protein 7.1g / dl, sodium 142mEq / L, potassium 6.3mEq / L, chlorine 112mEq / L, calcium 7.2 mg / dl, blood glucose 65mg / dl, bilirubin 25.8mg / dl, direct bilirubin 1.5mg / dl. Cerebrospinal fluid: the appearance of pale yellow, cells 12,500, protein 320mg sugar 15mg chloride 55mg. FDP55mg / ml, fibrinogen 20mg / dl. (A) of the following check which abnormal? ① white blood cells and platelets; ② bilirubin; ③ cerebrospinal fluid