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例1,男,7天,因少哭,少动,全身皮肤凉4天,于1986年12月27日入院。第二胎第二产,孕38周,出生体重2200g,4天来神萎,哭声低,吮奶无力至拒奶,尿少,肢体躯干出现硬肿。体检:体温32.6℃,呼吸32次,脉搏106次,体重2100g,活动及反应极差。躯干皮肤有人为挑刺之出血点,鼻唇沟及口周有出血斑,呼吸运动弱,两肺未闻罗音,心音低钝,心律齐,脐部少许脓性分泌物,肝右肋下1.5cm,硬肿面积60％,全身皮肤凉,足背浮肿,拥抱反射及觅食反射消失。血红蛋白17.1g,白细胞6100,中性粒细胞71％,淋巴细胞29％,血小板13万,X线胸片示右侧胸膜反应,右下肺炎。入院诊断(1)新生儿重度硬肿症,(2)新生儿
Example 1, male, 7 days, due to less crying, less movement, systemic skin cold 4 days, on December 27, 1986 admission. The second child of the second production, 38 weeks pregnant, birth weight 2200g, 4 days to wilt, crying low, sucking milk weakness to refuse to milk, oliguria, limb torso appear swollen. Physical examination: body temperature 32.6 ℃, breathing 32 times, pulse 106 times, weight 2100g, poor activity and response. Torso skin was someone to pick the bleeding point, the nasolabial fold and perioral bleeding spots, respiratory movement is weak, two lungs did not hear rales, heart sounds low blunt, heart Qi Qi, umbilical a little purulent secretions, the right rib 1.5 cm, sclerosis area of 60%, body skin cold, dorsal edema, hug reflex and reflex disappear. Hemoglobin 17.1g, white blood cells 6100, 71% of neutrophils, lymphocytes 29%, 130,000 platelets, X-ray showed right pleural reaction, right lower pneumonia. Admission diagnosis (1) severe scleredema in newborns, (2) newborns