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患儿男,15d,主因生后间断呕吐12d入院。患儿系第2胎第2产,孕40周顺产娩出,出生体重3100g,出生时面色红润,否认有窒息史,生后6 h首排胎便,30 h开奶,吃奶差。生后3 d曾于当地洗胃后出现间断呕吐,有食欲,但每次吃奶后均有呕吐,自口鼻腔涌出,大便每日1次,量少。3 d前患儿无明显诱因出现颜面青紫,持续约2 min后自行缓解,1 d前因呕吐较重,于当地医院住院输液1 d,无好转,为明确诊治而来我院。入院时查体：T 36.2℃,R 84次／min,P 132次／min,体重2950 g,足月儿外
Children male, 15d, mainly due to intermittent vomiting after admission 12d. The second fetus in children with second birth, 40 weeks of pregnancy, delivered spontaneously, birth weight 3100g, ruddy at birth, denied a history of asphyxia, 6h after birth, the first row of meconium, 30h milk, poor feeding. 3d after birth in the local gastric lavage intermittent vomiting, there is appetite, but after each have vomiting after feeding, since the mouth of the nose, stool 1 day, less. 3 days before the child had no obvious incentive to appear purple face, sustained about 2 min after the self-remission, 1 d before due to vomiting, hospital infusion in the local hospital 1 d, no improvement for the diagnosis and treatment came to our hospital. Admission examination: T 36.2 ℃, R 84 times / min, P 132 times / min, weight 2950 g, full-term children outside