患儿,男,32周早产,吸引产,双胎之小,出生体重1.7kg,1分钟Apgar评分9分。因吃奶差及皮肤黄染2天于生后第6天由婴儿室转入儿科。孕母产前3天有发热(39℃)及腹泻史。体检:T36℃,哭声响,巩膜及全身皮肤黄染,前囟平,心肺(-),脐部干燥,肝肋下1cm,脾未及,四肢肌张力小,拥抱、握持、吸吮反射均引出。入院诊断:(1)新生儿高胆红素血症——败血症?肺炎?(2)早产儿。经抗感 Children, male, 32 weeks preterm, abortion, small twins, birth weight 1.7kg, 1 minute Apgar score of 9 points. Due to poor feeding and skin yellow dye 2 days after birth, transferred from the baby room to the pediatric 6 days. 3 days pregnant mother prenatal fever (39 ℃) and history of diarrhea. Physical examination: T36 ℃, crying sound, sclera and whole body skin yellow dye, anterior fontanel, cardiopulmonary (-), umbilical dry, hepatic ribs 1cm, spleen and limbs, limb muscle tension, hug, hold, sucking reflex Lead. Admission diagnosis: (1) neonatal hyperbilirubinemia - sepsis? Pneumonia? (2) premature children. After anti-sense