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病历摘要男,24天,因发憋三天入院。患儿三天来一阵阵发憋,呼吸急促,口吐沫,面色发青,但不呛奶,不咳嗽,无发热。病后精神弱,吃奶差,大小便正常。2天来发憋加重而来本院急诊。患儿系第一胎,第一产,足月顺产,出生体重4000克,生后母乳喂养,一般情况良好,近日家中有感冒患者。来院时查体:发育营养良好,面色发绀、发灰,喘憋重,心率200～212次,无杂音,双肺少量中小水泡音,肝肋下3cm,脾未及,四肢
Summary of medical records Male, 24 days, because of hair suffocation three days admitted to hospital. Children with bursts of breath for three days, shortness of breath, spit foam, looking green, but not choking, no cough, no fever. After the illness weak spirit, poor feeding, normal urine. 2 days to hold back to our emergency room. Children with the first child, the first birth, term full-term, birth weight 4000 grams, breastfeeding after birth, the general condition is good, the recent home has a cold in patients. To the hospital when the physical examination: well-developed nutrition, looking cyanotic, gray, wheezing, heart rate 200 to 212 times, no noise, a small amount of lungs small blisters sound, liver ribs 3cm, spleen and limbs