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患儿男,2个月。因间歇性柏油样便1个月,加重伴喘憋10天入院。患儿系第1胎、第1产,足月顺产,新法接生,生后无窒息史。人工喂养。1个月前,患儿无明原因的出现大便发黑,每日5～6次,无呕吐及发热,时有烦躁,在当地医院查大便潜血(++++)。以迟发性维生素K缺乏症给予治疗,用药5天后大便潜血(-)。10天前患儿大便又呈柏油样,且有咳嗽、喘憋。查体:体温37℃,脉搏160次/min,呼吸40次/min。精神不振,面色
Children male, 2 months. As a result of intermittent asphalt like 1 month, aggravated with wheezing 10 days admitted. Children in the first child, the first production, full-term delivery, the new law delivery, postpartum no history of asphyxia. Artificial feeding. A month ago, children with unexplained stool black, 5 to 6 times a day, no vomiting and fever, sometimes irritability, stool occult blood in the local hospital (++++). Treatment of delayed vitamin K deficiency treatment, stool occult blood (-) after 5 days of treatment. 10 days ago the child stool and tarry, and cough, wheezing. Physical examination: body temperature 37 ℃, pulse 160 beats / min, breathing 40 beats / min. Unresponsive, looking