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病史摘要庄姓,女,26天,上海松江人,住院号226014。1978年11月5日因全身发绀4～5天、啼哭时加重入院。系第二胎、第三产,双胎挛生,足月顺产,出生时情况良好,体重2,750克。近4～5天发现全身皮肤、口唇、指甲等处发紫,啼哭时加重。无咳嗽气急,无发热吐泻。母乳喂养,加少量奶糕。就诊前无服药史。父母健在,母孕期无“感冒”、“疟疾”等疾病,无服药史,系当地农民,无化学毒物接触史。家族中无类似青紫患者,其挛生之姐未发现青紫。入院体检:神萎,发育营养较差,体重2,700克。体
Summary of medical history Zhuang surname, female, 26 days, Shanghai Songjiang, hospital number 226014. November 5, 1978 due to systemic cyanosis 4 to 5 days, increased crying admission. Department of the second child, the third childbirth, twins twins, term full-term, born in good condition, weighing 2,750 grams. Nearly 4 to 5 days found that body skin, lips, nails and other places purple, worse when crying. No cough and shortness of breath, no fever and vomiting. Breastfeeding, plus a small amount of milk cake. No medication history before treatment. Parents are alive and have no history of “cold” or “malaria” or other diseases in their mother’s pregnancy. They have no history of taking medication and are not exposed to chemical poison. No similar brucellosis in the family, the sister of his twin did not find bruising. Admission medical examination: God wilt, poor nutrition, weight 2,700 grams. body