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我院儿科收治2例突出表现为呼吸衰竭的婴儿维生素B_1缺乏病例,现报告如下。例1。男,维吾尔族,4个月。腹泻4个月。拒乳、无大小便4天入院。患儿自生后一直腹泻黄色糊状稀便,一日7～8次。无粘液,时而有非喷射性呕吐。胃纳差。近4天突然精神萎靡,拒乳,无大小便。母乳喂养,其母体健。体检:T36℃,精神萎靡面色灰,点头样呼吸。前囟、双眼窝轻凹,双眼睑闭合不严。唇樱红。心音弱,心前区闻Ⅱ级收缩期吹风样杂音。肝肋下3cm,质软。病理反射未引出。Hb95g/L,RBC3.23×10~(12)/L,CO_2CP10.8mmol/L(24vol%),
2 cases of pediatric hospital admitted to highlight the performance of respiratory failure in children with vitamin B_1 deficiency cases are as follows. example 1. Male, Uygur, 4 months. Diarrhea 4 months. Refused milk, no urine 4 days admission. Children have always been diarrhea, yellow paste loose stools, 7-8 times a day. No mucus, sometimes non-jet vomiting. Poor appetite. Nearly 4 days suddenly apathetic, refuse milk, no urine. Breastfeeding, its maternal health. Physical examination: T36 ℃, apathetic looking gray, nod like breathing. Anterior fontanel, binocular light concave, double eyelid closed lax. Cherry red. Heart sounds weak, precordial area smell Ⅱ systolic hair-like murmur. Liver ribs 3cm, soft. Pathological reflex did not lead. Hb95g / L, RBC3.23 × 10-12 / L, CO_2CP10.8mmol / L (24vol%),