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马××,男性、第二胎、足月顺产,出生时有青紫窒息,体重2,250g,于生后20小时出现黄疸,58小时后全身黄疸明显加重。出现拒乳、嗜睡、拥抱反射消失,呻吟尖叫,呼吸节律缓慢,阵发性强直性抽搐。系第一胎,16周流产。体检昏睡、阵发性抽筋呈角弓反张状态。呼吸缓慢,节律不规正,每分钟19—20次,有呼吸暂停,面色发绀表现,全身皮肤及巩膜呈橙黄色。前囟饱满,颈抗,心肺正常,腹轻度胀气,脐部无渗血,肝在剑突下2.5cm,锁骨中线肋缘下1.5cm,中等硬
Ma × ×, male, second child, term full-term birth, birth purple suffocation, weighing 2,250 g, 20 hours after birth, jaundice, 58 hours after the whole body jaundice significantly increased. Refusal to milk, lethargy, hug reflex disappeared, moaning scream, slow breathing rhythm, paroxysmal tonic convulsions. Department of the first child, 16 weeks abortion. Physical examination lethargy, paroxysmal cramps angular bow anti-Zhang state. Slow breathing, irregular rhythm, 19-20 times per minute, with apnea, cyanosis, the performance of systemic skin and sclera was orange-yellow. Frontal fontanelle, cervical resistance, normal heart and lungs, abdominal mild flatulence, umbilical no bleeding, the liver in the xiphoid 2.5cm, 1.5cm under the midline of the clavicle rib, medium hard