论文部分内容阅读
患儿女,2月。因全身皮肤黄染2d之主诉于1992年4月入院。4d前其母发现患儿小便发黄,里浓茶样,2d前皮肤、巩膜黄染,且抽风1次,无发热、咳嗽及皮疹。患儿系2胎2产,足月顺产,生后无窒息、母乳喂养。其姐于生后1月因腹胀死亡(原因不明)。 查体:T38℃,P120次/min,R28次/min。发育差,营养中等,全身皮肤中度黄染,浅表淋巴结未触及。头颅无畸形及包块,前囟2cm×2cm,后囟未闭。双肺呼吸音清晰,未闻及干湿性罗音。心率120次/min,律齐,未闻及杂音。腹平坦,肝助下4cm,脾助下5cm,神经系统未见阳性体征。
Children with children, February. Due to systemic skin yellow dye 2d of the main complaint in April 1992 admitted. 4d before his mother found that children urinate yellow, liqueur-like, 2d before the skin, scleral yellow dye, and ventilation 1, no fever, cough and rash. Children with 2 births 2, full-term pregnancy, no suffocation after birth, breastfeeding. Her sister died of bloating in January (unknown). Physical examination: T38 ℃, P120 times / min, R28 times / min. Poor development, moderate nutrition, moderate yellowish body skin, superficial lymph nodes not touched. No deformity of the skull and mass, the anterior fontanel 2cm × 2cm, the posterior fontanelle. Breath sounds clear lungs, no smell and wet and dry rales. Heart rate 120 beats / min, law Qi, no smell and noise. Abdomen flat, liver help 4cm, spleen help 5cm, no positive signs of the nervous system.