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男婴,69天,因全身皮肤、巩膜黄染两月,加重半月而入院。患婴为第一胎一产,孕38周,顺产,出身体重2700克,生后3天出现黄疸,到一周后渐消退。入院前两月全身皮肤、巩膜发黄,大便呈灰白色,食少,体重不增,以“婴儿肝炎综合征”住院。接种过“卡介苗”,生后混合喂养,父母亲身体健康,肝功能正常,HBsAg阴性,否认有黄疸家族病史。查体:T37.4℃,P124次/分,R36次/分,头围36cm,体重3.7公斤。一般状况差,发育、营养中下,神萎,皮下脂肪0.8cm,全身未见出血点及蜘蛛痣,心肺无异常,腹平坦,上腹壁有静脉显露,无腹水征,肝剑突下4cm,肋下3 cm,质软,
Baby boy, 69 days, due to systemic skin, scleral yellow dye two months, increased half a month and admitted to hospital. Infants with first birth as a fetus, 38 weeks pregnant, natural delivery, birth weight 2700 grams, 3 days after birth, jaundice, gradually faded to a week later. Two months before admission whole body skin, sclera yellow, stool was gray, eat less, weight does not increase, with “infant hepatitis syndrome” hospitalization. Inoculated with “BCG”, mixed feeding after birth, parents healthy, normal liver function, HBsAg-negative, deny jaundice family history. Physical examination: T37.4 ℃, P124 times / min, R36 times / min, head circumference 36cm, weight 3.7 kg. General condition is poor, development, nutrition in the next, atrophy, subcutaneous fat 0.8cm, the body no bleeding and spider nevus, no abnormal heart and lung, abdominal flat, ventral veins revealed, ascites sign, liver xiphoid 4cm, Under the ribs 3 cm, soft,