Weak and reduced suckling in newborns

Introduction Newborns have significantly reduced milk consumption, and they seem to be hunger-free. They are short and weak, and they tend to suckle milk when they are breastfeeding. Traditional Chinese medicine believes that the main cause of this disease is that children are mostly lack of congenital endowment, blood is not filled, Yuanyang is weak, followed by improper rearing and feeling cold, so the disease has a high incidence in the cold season in the north. In neonates, especially premature infants, the body temperature regulation center is not well developed. The body temperature is easy to fluctuate with the environmental temperature. The neonatal body surface area is relatively large, the subcutaneous fat is small, the skin is thin, the blood vessels are distributed more, and it is easy to dissipate heat.

Cause

Traditional Chinese medicine believes that the main cause of this disease is that children are mostly lack of congenital endowment, blood is not filled, Yuanyang is weak, followed by improper rearing and feeling cold, so the disease has a high incidence in the cold season in the north.

Western medicine believes that the pathogenesis of this disease is not fully understood, and can be caused by various causes such as cold, premature birth, and infection asphyxia. Neonatal, especially premature infants, have poor development of body temperature regulation center, body temperature is easy to fluctuate with environmental temperature, neonatal body surface area is relatively large, subcutaneous fat is small, skin is thin, blood vessels are distributed more, easy to dissipate, and neonatal subcutaneous fat is saturated. The fatty acid composition is relatively high, the melting point is high, and the body temperature is low, and it is easy to coagulate. The neonatal heat production mainly depends on brown fat, and requires the participation of oxygen. When oxygen, cold, acidosis and other factors exist, the heat production process is highly susceptible to inhibition. This fat is not adequately stored in premature babies.

an examination

Related inspection

Neonatal physical examination blood routine

1. When a newborn child is born, the body is thin, the muscles are thin, the complexion is sublime, the spirit is weak, the weak voice is low, the milk is weak, and the muscles are soft. Generally weigh less than 2500g and weigh less than 45cm.

2. There are various causes of congenital deficiency, such as premature birth, multiple births, frail maternal, disease, and infertility, as well as placenta and umbilical cord abnormalities.

3. Pregnancy and prenatal labor have infection, premature rupture of membranes, prolonged labor, amniotic fluid pollution, umbilical infection and skin mucosal damage or infection.

4. The general performance is not to eat, not to cry, less movement, mental wilting, and may be accompanied by vomiting, or easy to convulsion, body temperature does not rise or fever, pale skin, may have progressive aggravation of jaundice, hepatosplenomegaly Big. In severe cases, there are bleeding spots in the skin, and a few may have convulsions and scleredema. Physical examination should pay attention to the presence of infected lesions in the umbilicus, skin, nail groove and mucosal wounds.

5. Laboratory tests: Leukocytes with less than 4x109/L or more than 25x109/L are helpful for diagnosis. If the white blood cells are normal but the blood culture has pathogenic bacteria, the diagnosis can be confirmed. Bacterial culture and smear of local lesions can be used as a reference for diagnosis.

Differential diagnosis

Newborns eat less: to eat and cry to move, is the need for children born. Eat less, cry less, and be a special manifestation of neonatal illness.

Low neonatal response: Decreased responsiveness is a group of clinical symptoms. Contains a certain degree of disturbance of consciousness, decreased muscle tone, decreased physical activity, weak crying and weak suction. Newborns not only show low response in central nervous system diseases, but other manifestations such as severe infection, shock, dehydration, acidosis metabolic disorders, anemia, hypothermia and respiratory failure. Low clinical response is often used to determine the severity of various diseases.

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