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病例摘要患儿,男.1988年10月7日因重度贫血于生后14小时转入儿科。患儿系剖腹产的第1男婴(供血儿)。出生时全身皮肤苍白、呼吸微弱不规则、经吸痰、给氧、刺激等始有哭声。其母24岁,妊娠38(4/7)周,下肢浮肿月余,血压18/13kPa。血红蛋白11.5g/dl,白细胞6600/mm~3,血型“A”。B超显示双胎,一胎儿双顶骨骨化中心距离(BPD)9.7cm,另一胎儿胎心消失。剖腹产见两个羊膜腔,,第一男胎羊水约800ml,黄绿色,粘稠、略有味。第二胎已死,重约1500g,全身紫红色,脱皮广泛,
Case Summary Children, male. October 7, 1988 due to severe anemia 14 hours after birth into the pediatric. The first baby boy (donor) with a caesarean section. Whole body pale skin at birth, weak and irregular breathing, the suction, oxygen, stimulation began to cry. The mother is 24 years of age, 38 weeks of pregnancy (4/7), lower extremity edema, blood pressure 18 / 13kPa. Hemoglobin 11.5g / dl, white blood cells 6600 / mm ~ 3, blood type “A”. B ultrasound showed twins, a fetus bipolar ossification center distance (BPD) 9.7cm, the other fetal heart rate disappears. Caesarean section to see the two amniotic membrane, the first male fetus amniotic fluid about 800ml, yellow-green, thick, slightly flavored. The second child is dead, weighs about 1500g, body purple, peeling a wide range,