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患婴,女,38小时,汉族,因皮肤黄染16小时入院。患儿第三胎,第二产,足月顺产,生后Apgar评分10分,出生体重3350g,母乳喂养。生后16小时发现皮肤巩膜黄染,呈进行性加重,反应及吃奶均好,无尖叫及抽搐,因黄疸重而收入院。父母体健,第一胎人流,第二胎生后4天因黄疸死亡。体检:T37℃,P120次/分,R44次/分,呼吸平稳,全身皮肤重度黄染,前囟平软。心肺(—)。腹平软,肝肋下2cm,脾未及,双下肢无水肿,肌张力稍差,拥抱反射稍减弱。实验室
Infant, female, 38 hours, Han, due to skin yellow dye 16 hours admission. Children with a third child, second birth, term full-term pregnancy, Apgar score 10 points after birth, birth weight 3350g, breastfeeding. 16 hours after birth, the skin scleral yellow dye was found, was progressive increase in response and feeding are good, no screaming and convulsions, due to jaundice and income hospital. Parents physical health, the first fetal flow, the second child after 4 days died of jaundice. Physical examination: T37 ℃, P120 beats / min, R44 beats / min, stable breathing, severe yellowish body skin, anterior fontanelle soft. Cardiopulmonary (-). Abdomen soft, liver ribs 2cm, spleen and the lower extremity without edema, muscle tension is slightly worse, hug reflex slightly reduced. laboratory