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例1,男,4天,足月顺产。体检:T36.5℃,体重1550g,一般情况差,心肺腹无殊,右股外侧可触及硬肿。入院诊断:1.小样儿; 2.新生儿硬肿症。治疗七天后硬肿消失,但患儿体重不增,呼吸不规则,口周及鼻根部青灰,哭声无力。血气分析示:pH7.274,PCO_25.4kPa,BE-10.9mmol/L,诊断为后期代酸,给碳酸氢铬治疗。两天后症状消失,治疗两周体重增至1990g。住院一月出院。治疗期间复查血气分析均呈代酸。
Example 1, male, 4 days, full-term follow-up. Physical examination: T36.5 ℃, weight 1550g, the general situation is poor, no special cardiopulmonary abdomen, right lateral can touch the sclerosis. Admission diagnosis: 1. Small sample; 2. Neonatal sclera. Sclerosis disappeared after seven days of treatment, but children do not increase body weight, irregular breathing, perioral and nasal roots and gray, crying weakness. Blood gas analysis showed: pH7.274, PCO_25.4kPa, BE-10.9mmol / L, diagnosed as post-acid, chromium bicarbonate treatment. After two days the symptoms disappeared and the body weight increased to 1990g for two weeks. Hospitalized January discharge. During the review of blood gas analysis were treated acid.