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李××之女,十天,其母孕38周,无窒息病史,1986年3月23日娩出体重2350克,为胎龄小样儿。生后哭声小,对外反应低下,吸吮力差,体温低。生后第四天,巩膜,全身皮肤黄疸并渐加重。其母有甲状腺功能减低病史二年余,坚持服用甲状腺片至分娩后。体检似老人貌,皮肤干燥,有部分脱屑,四肢冷,无硬肿,巩膜,皮肤中度黄疸,甲状腺不肿大,唇周不发绀,呼吸42次/分、规则,心音低钝,心率110～120次/分、节律齐,肺部阴性。哭声似猫叫,四肢肌张力减低,握持及拥抱反射减弱。X光胸片无异常,胆红素17mg/dl,凡登白试
Li × × daughter, ten days, 38 weeks of her mother’s pregnancy, no history of asphyxia, March 23, 1986 delivered 2350 grams of body weight, gestational age small sample. Cry after birth, low external response, poor sucking, low body temperature. The fourth day after birth, sclera, body skin jaundice and gradually increased. The mother has a history of hypothyroidism more than two years, insisted on taking thyroid tablets after delivery. Physical examination like the elderly appearance, dry skin, some scaling, cold limbs, no sclerosis, sclera, moderate jaundice, thyroid enlargement, cyanosis of the lip, breathing 42 beats / min, rules, heart sounds low blunt, heart rate 110 ~ 120 beats / min, rhythm Qi, lungs negative. Crying feline call, lower extremity muscle tension, holding and embracing reflection weakened. X-ray no abnormalities, bilirubin 17mg / dl, where Deng white test