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病例报告患儿:女,19天。因咳嗽3天,拒奶14小时,口吐泡沫半天,面色发灰5小时,于1978年12月8日住院。患儿系第一胎,早产(7个半月)。出生时面部及全身发乌,不会哭,经给氧后复甦,但哭声微小,出生体重为4.5市斤。生后母奶不足,加牛奶喂养。其母24岁,妊娠至5个月后常有腹痛,经多次保胎至7个半月时因患肠炎而导致早产。父母均否认结核病史。入院时体检:一般情况危重,面色灰白,唇周青紫,鼻翼扇功,呼吸表浅而不规则,呼吸32次/分,脉搏112次/分,肛温不升。前囟平,皮肤未见出血点,无黄疸,心脏听诊无异常,双肺听诊均可闻及细小水泡音,尤以左肺明显,腹部软,肝脏锁骨中线肋弓下2厘米,四肢冰冷,其他无异常发现。
Case report children: female, 19 days. Cough for 3 days, refused to milk 14 hours, vomiting foam half a day, looking gray 5 hours, December 8, 1978 hospitalization. Children with the first child, premature delivery (7 and a half months). Birth face and body hair black, do not cry, after the oxygen recovery, but the crying noise is small, the birth weight of 4.5 kg. Lack of raw milk after birth, plus milk feeding. The mother of 24 years old, often until after 5 months of abdominal pain, miscarriage to 7 and a half months due to enteritis and lead to premature birth. Parents have denied a history of tuberculosis. Physical examination on admission: the general situation of critically ill, pale, lip weeks blue, nose fan power, breathing shallow and irregular, breathing 32 beats / min, pulse 112 beats / min, rectal temperature does not rise. Anterior fontanelle, the skin no bleeding, no jaundice, no abnormal heart auscultation, lung auscultation can smell small blisters sound, especially in the left lung was obvious, abdominal soft, liver clavicular midline ribs bow 2 cm, limbs cold, No other abnormal findings.