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患儿男,1d,以精神差、不吃、不动、体温不升入院,第1胎孕36~(+2)周,早破水自产,体重2.4kg,查体:T35.4℃,R36次/min,刺激反应弱,面部皮肤青紫,双肺呼吸音粗,未闻及干,湿性罗音,P120次/min,律齐,各瓣膜听诊区未闻及杂音,腹软,肝脾肋下未及,四肢肌张力可,拥抱反射可引出,测血糖1.3mmol/L。诊断:(1)早产儿;(2)低出生体重儿;(3)低糖血症;(4)新生儿感染?入院后给予暖箱复温、氧疗、禁食、抗感染(应用青霉素及氨苄青霉素),静脉补液,支持疗法,住院期间相继出现硬肿、黄疸。X线胸片示新生儿肺炎。经治疗肺炎吸收,硬肿、黄疸消退,血糖3.1mmol/L,但出暖箱后体温波动,高达39℃,左腮腺咬肌区红肿,挤压局部,口内同
Children with male, 1d, poor spirit, do not eat, do not move, body temperature does not rise to hospital, first pregnancy 36 ~ (+2) weeks, premature rupture of water production, weight 2.4kg, physical examination: T35.4 ℃, R36 times / min, weak stimulation reaction, facial skin bruising, lung breath sounds coarse, unheard and dry, wet rales, P120 times / min, law Qi, the valve auscultation area did not smell and noise, abdominal soft, liver and spleen Under the ribs, limb muscle tension can be embraced reflection can lead to measuring blood glucose 1.3mmol / L. Diagnosis: (1) premature children; (2) low birth weight infants; (3) hypoglycemia; (4) neonatal infection after admission to warm box rewarming, oxygen therapy, fasting, anti-infective Ampicillin), intravenous rehydration, supportive therapy, have appeared during hospitalization, sclerosis, jaundice. X-ray showed neonatal pneumonia. After treatment of pneumonia, swelling, jaundice subsided, blood glucose 3.1mmol / L, but after the temperature fluctuations in the box, up to 39 ℃, left parotid masseter area swelling, squeezing the local, intraoral