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男婴,15天,因哭闹、拒奶、面黄两天伴呕吐一次住院。第二胎足月顺产,母孕期体健、非近亲婚配,第一胎生后数天夭折,否认肿瘤、免疫与遗传性疾病家族史。体检:体温36.8℃,身长51cm,体重2,900g,头围34cm,呼吸40次,不规则、有暂停,心率20次。精神萎靡,皮肤巩膜黄染,心音低钝,心律齐,无杂音,两肺无罗音,腹部无包块,阴囊色黝黑,外生殖器无畸形。白细胞32,000。中性粒细胞39％,淋巴细胞59％,嗜酸细胞1％,单核细胞1％;血清胆红素9.1mg/dl,直接胆红素1.0mg/dl。脑脊液
Baby boy, 15 days, due to crying, refusing to milk, face yellow two days with vomiting once hospitalized. The second term of full-term birth, the first trimester of health, non-relatives of marriage, the first few days after birth aborted, denied the family history of cancer, immune and genetic disease. Physical examination: body temperature 36.8 ℃, body length 51cm, weight 2,900g, head circumference 34cm, breathing 40 times, irregular, suspended, heart rate 20 times. Serious scleral skin, sclera Huang Huang, low heart sound blunt, Qi Qi, no noise, two lungs without rales, no mass in the abdomen, dark color of the scrotum, external genital malformations. WBC 32,000. Neutrophils 39%, lymphocytes 59%, 1% eosinophils, monocytes 1%; serum bilirubin 9.1mg / dl, direct bilirubin 1.0mg / dl. Cerebrospinal fluid