患儿女,4天,因“皮肤、巩膜进行性黄染3天,拒奶4h”入院。患儿系第1胎第1产,胎龄38周顺产,出生史无异常,出生体重2320g。患儿生后即面部无表情,哭闹时不闭眼,入睡时双眼可闭合。人工喂养,吸吮及吞咽能力差,予汤勺喂养,无呛奶、吐奶。生后第2天出现皮肤巩膜黄染,入院前4h患儿反应差、拒奶,无发热、抽搐、尖叫及面色青紫。母 Children with children, 4 days, due to “skin, sclera progressive yellow dye 3 days, refused to milk 4h ” admission. The first fetus in children with first birth, 38 weeks gestational age, birth history without exception, birth weight 2320g. Children born after facial expression, no eyes closed when crying, eyes closed when falling asleep. Artificial feeding, sucking and swallowing poor, to the soup spoon feeding, no choking milk, spit milk. On the second day after birth, the sclera of the sclera was yellowish. The children reacted poorly 4h before admission, refused to drink milk, had no fever, convulsions, screaming and bruising. mother