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婴幼儿巨幼红细胞性贫血并非罕见,临床上早期诊断较为困难,最近我们收治1例,现报告如下。病历摘要患儿男性,50天,住院号104843。因面色萎黄20天,发热伴惊厥1天于1987年11月1日入院。入院前20天,面色逐渐萎黄,但无震颤,吸乳正常。1天前发热,T38℃左右,四肢反复惊厥,惊厥时神志清,每次持续数分钟,停止惊厥后吸乳如常、不吐。病前无吐泻及头部外伤史。系第二胎足月顺产,单纯母乳喂养,母体健。入院时查体:T37.7℃,P140次/分,R 65次/分,急性病容贫血貌,发育正常。神清、哭声低,前囟平,巩膜皮肤未见黄染,颈软,心肺无殊,腹平
Infant megaloblastic anemia is not uncommon, early clinical diagnosis is more difficult, we recently admitted a case, are as follows. Medical record Summary Male patients, 50 days, hospital number 104843. Due to pale complexion 20 days, fever and convulsions one day in November 1, 1987 admission. 20 days before admission, the face gradually chlorosis, but no tremor, normal breasts. 1 day ago, fever, T38 ℃ or so, repeated convulsions of the limbs, convulsions conscious mind, each lasting several minutes, stopped as usual after convulsions breasts, do not spit. No history of vomiting and head trauma before illness. Department of full-term second-term fetus, breastfeeding, maternal health. Admission examination: T37.7 ℃, P140 beats / min, R 65 beats / min, acute disease with anemia, normal development. God clear, crying low, anterior fontanel, sclera skin no yellow dye, soft neck, no cardiopulmonary, abdominal flat