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患儿男,34 h,因“发现皮肤黄染17 h”入院。患儿系第1胎第1产,胎龄39周顺产,无窒息。父母血型均为O型,Rh(+)。查体:精神反应欠佳,皮肤轻度黄染,皮肤、黏膜苍白,头颅肿胀明显,头围36 cm,头皮张力较高,有波动感,边界不清,触之哭闹明显,心、肺、腹、神经系统查体无明显异常。血常规:WBC 13.1×109/L,PLT 99×109/L,Hb 57 g/L,Ret 17.6%;TBil 128.9μmol/L;C反应蛋白12.0
Children male, 34 h, because of “skin yellow dye found 17 h ” admission. The first child of the first birth in children with births, gestational age 39 weeks of spontaneous, no asphyxia. Parents are O-type blood type, Rh (+). Physical examination: poor mental response, skin mild yellow dye, skin, mucous membrane pale, obvious head swelling, head circumference 36 cm, high scalp tension, a sense of volatility, the boundary is unclear, touching crying clearly, heart and lungs Abdominal, nervous system examination no obvious abnormalities. Blood routine: WBC 13.1 × 109 / L, PLT 99 × 109 / L, Hb 57 g / L, Ret 17.6%; TBil 128.9 μmol / L; C-reactive protein 12.0