患儿男,26d,因咳嗽、呛奶3d、发热1d入院。患儿系第1胎第1产,胎龄38周,异卵双胎之大,剧烈哭闹时仅腋窝少量出汗。查体:T41.8℃,RR51次/min,P148次/min,精神反应弱,早老貌,面色白,哭声嘶哑,皮肤黏膜干燥,躯干及四肢皮肤发花,头皮可见膜状脱皮,毛发稀疏色淡,干燥,未见睫毛及眉毛, Children male, 26d, due to cough, choking milk 3d, fever 1d admission. Children in the first child of the first production of 1, 38-week gestational age, fraternal twins, violent crying only a small amount of axillary sweating. Examination: T41.8 ℃, RR51 times / min, P148 times / min, mental reaction is weak, early appearance, pale, crying cries, dry skin and mucous membranes, trunk and limbs, flowers, scalp membrane peeling, hair Sparse pale, dry, no eyelashes and eyebrows,