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例1,双胎大女,因宫内窘迫剖宫产娩出后19min入院。患儿系第1胎第1产,孕37~(+3)周,因宫内窘迫、剖宫产娩出。与例2同一胎盘。羊水Ⅲ度污染、Apgar评分1、5、10分钟均为10分。入院查体:体温不升,神志清,反应稍差,特殊面容:眼距宽、眼裂小、眼外侧上斜、外耳小、鼻梁低平。面部可见散在出血点,颜面及躯干可见多个斑片状充血性皮疹。全身浅表淋巴结未触及肿大,心肺听诊未见异常,腹软,肝肋下3.0 cm,剑下1.5 cm,质软,脾未触及。四肢肌张力稍低,无通贯掌。实验室检查:血常规:
Example 1, twins eldest daughter, due to intrauterine distress cesarean delivery after 19min admission. Children with first-born fetus 1, 37 ~ (+3) weeks of pregnancy, due to intrauterine distress, cesarean delivery. Same as in Example 2 Placenta. Amniotic fluid Ⅲ degree of pollution, Apgar score 1,5,10 minutes are 10 minutes. Admission examination: body temperature does not rise, clear consciousness, the reaction is slightly worse, special face: wide eyes, small oculus, oblique on the outside of the eye, the outer ear small, low nose. Bleeding at the face visible scattered spots, face and torso visible multiple patchy congestive rash. Whole body superficial lymph nodes did not touch the enlargement, cardiopulmonary auscultation no abnormalities, abdominal soft, liver ribs 3.0 cm, 1.5 cm under the sword, soft, spleen not touched. Limb muscle tension is slightly lower, without palm. Laboratory tests: blood: