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病史摘要男婴,2天,因发烧5小时于1990年9月19日入院。第一胎一产,孕40周,剖宫产,脐带、胎盘.羊水均未见异常。出生体重3.5kg,无室息,Apgar评分1分钟、5分钟均10分.生后36小时突然发烧T39℃,精神吃奶差,由产科转入儿科。父母体健,母孕4个月曾有一次煤气中毒。入院查体:发育营养中等,精神弱,易激惹。头围33.5cm,胸围32 cm,身长50 cm。全身皮肤轻度黄染。前自1.5×1.5cm,稍饱满。口周轻度发绀,有轻度三凹征,呼吸略促,48次,心
Medical history Abstract Baby boy, 2 days, was admitted to hospital on September 19, 1990 due to a fever of 5 hours. The first birth of a fetus, 40 weeks pregnant, cesarean section, umbilical cord, placenta, amniotic fluid were normal. Birth weight 3.5kg, no room for interest, Apgar score 1 minute, 5 minutes are 10. 36 hours after birth suddenly fever T39 ℃, mental poor feeding, transferred from obstetrics to pediatrics. Physical health parents, pregnant mother had gas poisoning 4 months. Admission examination: development of moderate nutrition, weak spirit, irritability. Head circumference 33.5cm, bust 32cm, length 50cm. Whole body skin mild yellow dye. Before 1.5 × 1.5cm, slightly full. Mouth slightly cyanosis, mild three concave sign, breathing slightly, 48 times, heart