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患儿男,3天。面色苍白、气促、呻吟,拒乳1天入院。第2胎,足月,在家急产出生,无外伤史。生后一般情况良好。家族史无特殊。体检,体温37℃,心率160次/分,呼吸50次/分,体重3.5kg。发育正常,神清,烦燥,气促,面色苍白稍黄染,四肢微冷,心肺无异常。全腹膨隆,腹软,肝脾未扪及,叩诊有移动性浊音。腹腔穿刺抽出未凝的暗红色血液。实验室检查:血红蛋白50g/L,红细胞1.34×10~(12)/L,出、凝血时间正常,血小板240×10~9/L。当天剖腹探查,见腹腔积血性液体约250ml,脾脏下
Children male, 3 days. Pale, shortness of breath, moaning, refused to breast 1 day admission. The second child, term, at home emergency birth, no history of trauma. After birth, the general situation is good. No special family history. Physical examination, body temperature 37 ℃, heart rate 160 beats / min, breathing 50 beats / min, weight 3.5kg. Normal development, Shen Qing, irritability, shortness of breath, pale slightly yellowed, cold limbs, no abnormal heart and lung. Abdominal bulge, abdomen soft, liver and spleen not palpable percussion mobile dullness. Abdominal puncture unsalted dark red blood. Laboratory tests: hemoglobin 50g / L, red blood cells 1.34 × 10 ~ (12) / L, out, clotting time is normal, platelets 240 × 10 ~ 9 / L. The day of laparotomy, see about 250ml of ascitic hemorrhagic fluid, spleen