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Robin序列征是一种较为少见的疾病,其特点是小颌畸形,腭裂和舌后坠并呼吸困难等症。现将我科发现的两例(单卵双生)报告如下: 病例 例1,男,14小时,因“阵发性青紫10余小时”入院。患儿系G2P2,双胎之大。入院查体:体温36.5℃,呼吸65次/分,心率120次/分,体重2000g,精神反应差,颜面青紫,仰卧位时三凹征明显(系舌后坠所致),侧卧位时三凹征减轻;前囟平软,下颌骨小且对称性后缩,腭裂呈“V”型I度;双肺呼吸音粗,未闻及干湿罗音,心音有力,律齐,腹平软;四肢肌张力正常。诊断:1.Robin序列征;2.新生儿肺炎。
Robin sequence sign is a relatively rare disease, which is characterized by small jaw deformity, cleft palate and tongue fall and breathing difficulties embolism. Now we found two cases (monozygotic twins) report as follows: Case 1, male, 14 hours, due to “paroxysmal purple more than 10 hours” admission. Children with G2P2, twin big. Admission examination: body temperature 36.5 ℃, breathing 65 beats / min, heart rate 120 beats / min, weight 2000g, mental reaction is poor, facial bruising, supine position when the three concave sign was obvious Three concave sign to reduce; anterior fontanelle soft, small and symmetrical mandibular contraction, the cleft palate was “V” I degree; lung breath sounds coarse, unheard and wet and dry rales, heart sound, Qi, abdominal flat Soft; limb muscle tone normal. Diagnosis: 1. Robin sequence levy; 2. Neonatal pneumonia.