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患儿,男,4个月。因进行性面色发黄2个月入院。查体:体温37℃,呼吸42次min,精神萎靡,重度贫血貌。巩膜、皮肤黄染,睑结合膜、口唇苍白。双肺呼吸音粗,无罗音。心率168次/min,律齐,心音略低钝,心尖部可闻及Ⅱ级收缩期杂音。腹软,肝右肋下4cm,剑突下4cm,边钝,质略韧。脾左肋下2.5cm,质略韧。四肢末端苍灰。实验室检查:白细胞16.6×10~9/L,N0.64,L0.36;有核红细胞18个/100个白细胞;网织红细胞0.164;血红蛋白<30g/L,红细胞大小,形态不等,中心浅染。Coomb’s试验阴性。高铁血红蛋白还原试验阴性。入院
Children, male, 4 months. Due to progressive complexion yellow 2 months admission. Physical examination: body temperature 37 ℃, breathing 42 times min, apathetic, severe anemia appearance. Sclera, yellow skin, eyelid conjunctiva, pale lips. Breath sounds coarse lungs, no rales. Heart rate 168 beats / min, Law Qi, heart sounds slightly blunt, apex can be heard and Ⅱ grade systolic murmur. Abdominal soft, right rib under the liver 4cm, xiphoid 4cm, while blunt, slightly tough. Spleen left rib 2.5cm, slightly tough. Gray ends of the limbs gray. Laboratory tests: white blood cells 16.6 × 10 ~ 9 / L, N0.64, L0.36; nucleated red blood cells 18/100 leukocytes; reticulocytes 0.164; hemoglobin <30g / L, red blood cell size, Light dyeing. Coomb’s test negative. Methemoglobin reduction test negative. Admission