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患儿,男性,12天。出生时体重3,500g。因全身紫绀、烦躁一天于1984年12月12日入院。入院前2无患儿父母将青菜、白菜各2两加水煮沸约1小时,放置5~6小时后再用菜汤调奶粉喂养患儿,喂入菜水总量约400ml。于入院前一天患儿哭啼不安,全身发绀,并逐渐加重,哭闹时更甚,无呼吸困难,即来院就医。患儿系一胎一产,足月顺产,产时无特殊,产后奶粉喂养。体检:体温37.5℃,脉搏140次,呼吸25次。全身皮肤紫绀,哭声洪亮,呼吸稳平无鼻翼煽动,颈软,双肺无干、湿罗音,心率140次,心律齐,未闻病理性紫音,腹软,肝肋下1cm。血红蛋白14.7g,红细胞506万,白细胞12,500,中性56%,淋巴34%,酸性3%,单核3%,血小板14.7万(注:采血时血外观呈巧克力
Children, men, 12 days. Birth weight 3,500g. Due to systemic cyanosis, irritability one day in December 12, 1984 admission. Before admission, 2 children with no parents will be vegetables, cabbage 2 plus 2 boiled water for about 1 hour, placed 5 to 6 hours after the soup with milk to feed children, fed a total of about 400ml of water. On the day before admission, the patient was crying and restless, his body was cyanotic, and gradually worsened. When he was crying, he even went to hospital for medical treatment without breathing difficulties. Children born in a fetus, full-term birth, no special production, postpartum milk feeding. Physical examination: body temperature 37.5 ℃, pulse 140 times, breathing 25 times. Body skin cyanosis, loud crying, steady breathing without nose incitement, neck soft, lungs dry, wet rales, heart rate 140 times, heart rhythm Qi, unheard of pathological purple tone, abdominal soft, liver ribs 1cm. Hemoglobin 14.7g, erythrocytes 5060000, white blood cells 12,500, neutral 56%, lymphatic 34%, acid 3%, mononuclear 3%, platelet 147000