吴姓女婴,25天。1978年11月18日入院。患儿为第二胎足月妊娠顺产,出生后第十二天开始出现腹胀,面色苍白,并进行性加重,有时轻咳,入院前一天晚上出现发热、拒奶、尖叫及口角肌肉反复抽搐。病后常吐奶,无鼻衄及便血现象。患儿双亲健在,母在妊娠期间未患任何疾病;其祖母患“子宫癌”已病故。入院检查:体温38℃,呼吸52次/分,发育正常,昏睡,营养不良,皮肤苍白、弹性差,腹壁有散在性针头大的皮下出血点,两侧耳后、腋窝、腹股沟等处可触及数个黄豆大之淋巴结,活动、质稍硬。前囟饱满,左上眼睑下垂,两眼巩膜无黄染,瞳孔左>右,左侧对光反射迟钝,右侧对光反射正常。颈软。两肺呼吸音粗糙。心率168 Wu girl, 25 days. November 18, 1978 admission. Children with full-term pregnancy after second-trimester births, bloating on the 12th day after birth, pale, and progressive increase, and sometimes light cough, fever, refuse milk, screaming and mouth muscle spasm repeated the first day of admission . After the illness often vomit milk, no nose 衄 and blood in the stool. Parents of children with children, the mother did not have any disease during pregnancy; her grandmother suffering from “uterine cancer” has died. Admission examination: body temperature 38 ℃, breathing 52 beats / min, normal development, lethargy, malnutrition, pale skin, poor elasticity, the abdomen has scattered sexual needles large subcutaneous bleeding, both ears, armpits, groin, A large number of soybean lymph nodes, activity, quality slightly harder. Full of anterior fontanelle, left upper eyelid ptosis, sclera no yellow dye, pupil left> right, the left side of the light reflex slow, right side of the light reflex normal. Neck soft. Breathe sound rough between the two lungs. Heart rate 168