患儿,女,5天。因发热、皮肤黄3天,拒奶半天,于1996年5月23日入院。患儿为第一胎早破水6小时足月臀位经会阴侧切出生,体重3400g,生后无窒息,阿氏评分10分,吃奶好,第三天出现发热、口吐白沫、咳嗽、皮肤黄、尿色黄不染尿布,入院前半天拒奶,不哭、皮肤黄加重,大便正常。体检:体温36.6℃。呼吸40次/分,神清,反应差,全身皮肤及巩膜明显黄染,无皮疹及出血点,前囟平,颈无抵抗,两肺有少量湿罗音,心脏未见异常,肝脾不大,脐周无红肿和脓性分泌物,觅食反射存在。化验:血常 Children, women, 5 days. Due to fever, skin yellow 3 days, refused to milk half a day, on May 23, 1996 admission. Children with first child premature rupture of water 6 hours full breech by the perineal side of the cut, weighing 3400g, after birth without asphyxia, Ash score of 10, good milk, the third day of fever, foaming at the mouth, cough, Yellow skin, urine yellow diapers do not stained, refused to milk half a day before admission, do not cry, yellow skin heavier, normal stool. Physical examination: body temperature 36.6 ℃. Breathing 40 beats / min, clear, poor response, the body clear skin and sclera yellow, no rash and bleeding points, anterior fontanel, neck no resistance, both lungs have a small amount of wet rales, no abnormal heart, liver and spleen not Large, umbilicus no swelling and purulent secretions, feeding reflex existence. Laboratory: blood often