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患儿,男,12天,因少食4天、气促发热1天入院。系G_3P_1足月顺产,无窒息抢救史。四天前无明显诱因吮奶减少,1天来气促、唇周发绀、精神萎靡,在当地医院肌注青霉素并输葡萄糖液(浓度不详)150ml,因发热达39℃,转入我院。病后有溢乳,无咳嗽、呕吐、抽搐,大便正常,尿量较病前减少。父母体健,非近亲婚配,否认糖尿病家族史,其母自然流产二次。入院查体:体温38.8℃。呼吸50次,心率160次,体重2.8kg,血压9.31kPaDoppler。营养较差,面色灰,反应较差,间有激惹。皮肤弹性差,前囱平。唇周发绀。两肺吸吸音
Children, male, 12 days, due to eating 4 days, 1 day fever and admission. Department of full-term G_3P_1 birth, no asphyxia rescue history. Four days ago, there was no obvious incentive to reduce sucking sucking. One day’s shortness of breath, cyanosis of lips, apathetic, and penicillin infusion in local hospitals (unknown concentration) 150ml, 39 ℃ due to fever, transferred to our hospital. After the disease galactorrhea, no cough, vomiting, convulsions, normal stools, decreased urine output than before. Parents healthy, non-relatives marriage, denied family history of diabetes, the mother of spontaneous abortion twice. Admission examination: body temperature 38.8 ℃. Breathing 50 times, heart rate 160 times, weight 2.8kg, blood pressure 9.31kPaDoppler. Poor nutrition, looking gray, poor response, irritability. Poor skin elasticity, flat front. Cyanosis lip weeks. Absorption of both lungs