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一、诊断1.病史:(1)发病时处于寒冷季节,或环境温度过低,分娩后保温不当等寒冷损害因素。(2)早产儿、低出生体重儿。(3)有窒息或产伤史。(4)有感染性疾病。(5)热量供给不足。2.症状体征:体温不升,常在35℃以下(有感染或夏季发病者体温不低甚或有发热),哺乳差,反应弱,哭声低。局部或全身皮肤发凉,大部分病例有凹陷性水肿,皮下脂肪积聚部位变硬,重者关节活动受限。严重病例可出现休克征:四肢甚或全身发凉,口唇周围、肢端发绀,面色苍白或青灰,脉弱甚或测不
First, the diagnosis 1. History: (1) the onset of a cold season, or the ambient temperature is too low, poor insulation and other cold damage after delivery factors. (2) premature children, low birth weight children. (3) history of asphyxia or injury. (4) Infectious diseases. (5) Insufficient heat supply. 2. Symptoms and signs: body temperature does not rise, often below 35 ℃ (in patients with infection or summer onset body temperature is not low or even fever), poor breastfeeding, weak response, cry low. Local or systemic skin is cold, most cases have pitting edema, subcutaneous fat accumulation site hardening, severe joint activity is limited. Severe cases of shock symptoms may appear: limbs or even the whole body cool, around the lips, acromegaly, pale or gray, pulse weak or even not measured