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例1,男,15天,第1胎足月顺产。生后一般情况好,人工喂养,最近2～3天发现面色发灰,食奶减少,口唇甲床紫绀,上述症状日渐加重,精神差,吐奶,即到本院门诊以新生儿肺炎收住院治疗。入院查体:面色青灰,甲床、口唇及口腔粘膜紫绀,T37℃,R56次/分,心率152次/分,两肺呼吸音粗糙无啰音,腹软,肝脾未及,化验:WBC12.5×10~9/L, N0.56,L0.44, Hb127g/L,静脉血呈暗红色。追问病史:患儿入院前4～5天用小白菜水放在容器中当饮料及配牛奶。诊断为新生儿肠原性青紫,立即给美蓝1mg/kg静脉缓注后,给10％葡萄搪50ml加维生素C0.5g静滴,面色逐渐红润,以后每日用10％葡萄糖50ml加维生素C1g静滴,住院8天,所有症状体征消失,痊愈出院。例2,女,23天,第1胎足月顺产。近1周来发现口唇、甲床青紫,日渐加重,伴鼻阻,咳嗽,烦躁,纳差,吐奶,到本院门诊以①新生儿肺炎,②先天性心脏病收治住院。入院查体:发育中等,
Example 1, male, 15 days, the first full-term birth of the first child. After birth, the general situation is good, artificial feeding, the last 2 to 3 days found that the complexion gray hair, reduced milk, lips cyanosis of the bed, the above symptoms are worse, poor spirit, spit milk, that is to our hospital outpatient treatment of neonatal pneumonia admission . Admission examination: looking blue and gray, nail bed, lips and oral mucosal cyanosis, T37 ℃, R56 beats / min, heart rate 152 beats / min, rough lung sounds no arousal, abdominal softness, liver and spleen, test: WBC12 .5 × 10 ~ 9 / L, N0.56, L0.44, Hb127g / L, venous blood was dark red. Question history: children 4 to 5 days before admission with cabbage water on the container when the drink and milk. Diagnosis of neonatal enterocolitis, immediately to the United Blue 1mg / kg intravenous slowing, to 10% grapevine 50ml plus vitamin C0.5g intravenous drip, looking ruddy, after a day with 10% glucose 50ml plus vitamin C1g Intravenous infusion, hospitalization for 8 days, all the symptoms and signs disappeared, healed and discharged. Case 2, female, 23 days, first full-term fetus. Nearly a week to find lips, nail bed bruising, getting heavier, with nasal resistance, cough, irritability, anorexia, spit milk, to our hospital outpatient ① pneumonia, admitted to hospital congenital heart disease. Admission examination: moderately developed,