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患儿,男,10天,第三胎,足月顺产,因拒奶,吸吮无力、哭声小两天入院。查体:体重2200g,体温不升,全身皮肤发花发凉。中度黄染。前囟平,瞳孔等大等圆,对光反射弱。口周发绀,呼吸30次,浅表不整,肺未闻罗音。心音低钝,心率100次。腹胀,肝脾未触及,脐分泌物较多。四肢肌张力差,生理反射弱,病理反射(一)。实验室检查:血红蛋白14.6g,白细胞28,400,中性粒细胞57％,杆状核22％,血小板7.2万,CRP127μg/ml,尿常规(一),血培养(一),血钠138mEq/L,钾4mEq/L,HCO_3~-16.4mEq/L,血胆红素9.68mg/dl。心电图:窦性心动过缓,T波低平。胸片:两肺纹理粗重。入院诊断:新生儿败血症,肺炎,小样儿。入院后患儿出现呼
Children, male, 10 days, the third child, full-term delivery, due to refusal to milk, sucking weakness, crying for two days admitted. Physical examination: body weight 2200g, body temperature does not rise, systemic hair flowers cool. Moderate yellow dye. Anterior fontanelle, pupils and other large round, light reflection weak. Perioral cyanosis, breathing 30 times, superficial irregular lung did not hear Luo sound. Low heart sound, heart rate 100 times. Bloating, liver and spleen not touched, umbilical secretions more. Limb muscle tension is poor, weak physiological reflex, pathological reflex (a). Laboratory tests: 14.6g of hemoglobin, 28,400 of white blood cells, 57% of neutrophils, 22% of rod nuclei, 72,000th platelet, CRP127μg / ml, urine routine, Potassium 4mEq / L, HCO 3 ~ -16.4mEq / L, blood bilirubin 9.68mg / dl. ECG: sinus bradycardia, T wave low flat. Chest radiograph: two lungs gross weight. Admission diagnosis: neonatal sepsis, pneumonia, small sample. Children appear after admission call