以腹泻为首发症状的先天性肾上腺皮质增生症1例

Clinical Journal of Medical Officers(2012)

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Abstract
患儿,男,17 d,腹泻4d,反应差1d.患儿系第1胎第1产,39+2周剖宫产娩出,出生体质量3.0kg.生后哭声响亮,Apgar评分1、5、10 min为8,9,10分,无胎膜早破,脐带、胎盘正常,生后24 h开奶,混合喂养,吸吮有力.患儿于入院前4d出现腹泻,黄色稀便,约7~8次/d,量中等,无脓血、黏液,家长自述尿量无明显减少,奶量较前有所减少,曾在外院补液治疗,未见好转,转诊我院.
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