病史摘要男婴,一岁,因面色苍白,唇、舌颤抖2～3月于1983年6月28日入院。患儿系G4、P3,足月顺产,出生体重3500g,“白胖健康”,生后单纯母乳加奶糕喂养,未喂过蛋、鱼、肉、菜等辅食品。2月抬头,6月扶坐。于生后6月起面色苍白日益加重,多睡,对外界反应差,近3月胃纳渐减,无吐泻及便血,有唇舌颤抖。现今反而不会抬头、扶坐,至今不会站立及行走。近月来日趋萎软,整日沉睡,拒食,吸吮无力,吞咽困难,病情垂危而急诊收住院。母妊娠期体健,信 Medical history Abstract Baby boy, one year old, because of pale, lips, tongue trembling February to March on June 28, 1983 admitted. Pediatric Department of G4, P3, term full-term birth, birth weight 3500g, “white fat health”, after birth, breastfeeding plus milk cake feeding, not fed eggs, fish, meat, vegetables and other complementary foods. Look up in February and sit in June. After June, paleness is getting worse, more sleep, poor response to the outside world, nearly 3 months of appetite reduction, no vomiting and bloody diarrhea, there is lip shakes. Nowadays, they will not look up and sit, so far they will not stand and walk. In recent months, the increasingly waning soft, sleep all day, antifeedant, sucking weakness, difficulty swallowing, dying and emergency hospital admission. Mother’s pregnancy health, letter