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临床工作中,常遇到几种比较难以识别的新生儿疾病,现分别讨论如下,以供参考。一、新生儿惊厥误诊为呼吸循环衰竭新生儿由于中枢神经系统发育很不成熟,惊厥时有独特的表现形式。较常见的是阵发性呼吸暂停(多在20秒以上),心率减慢,面部或全身发绀,双目凝视,四肢发硬或微微抖动。如不仔细识别,易误诊为呼吸循环衰竭,而应用中枢兴奋药急救治疗。这种错误和有害的处理,反可导致惊厥频繁发作,甚至危及患儿生命。例1:女,2天。1973年5月17日因全身发黄,阵发性呼吸暂停及青紫1天余入院。患儿系第一胎,足月顺产,生后一般情况好。但不久全身迅速发黄,哭叫,不吃奶。第二天突然发生阵发性呼吸暂停,面色青紫,心率减慢。卫生所诊断败血症合并呼吸循环衰竭。肌注青、链霉素、洛贝林、可
Clinical work, often encountered several more difficult to identify neonatal diseases, are discussed below, respectively, for reference. First, neonatal convulsions misdiagnosed as respiratory failure due to the development of the central nervous system immature, convulsions have a unique form of expression. More common is paroxysmal apnea (more than 20 seconds), slow heart rate, face or body cyanosis, binocular gaze, limbs stiff or slight jitter. If not carefully identified, easily misdiagnosed as respiratory failure, and the application of central stimulant emergency treatment. This wrong and harmful treatment, can lead to frequent seizures, even endanger the lives of children. Example 1: Female, 2 days. May 17, 1973 due to systemic yellow, paroxysmal apnea and purple more than 1 day admission. Children with the first child, full-term natural delivery, after birth, the general situation is good. But soon the body quickly yellow, crying, do not eat milk. Sudden onset of paroxysmal apnea the next day, looking bruising, heart rate slowed. Health clinic diagnosis of sepsis with respiratory failure. Intramuscular injection of streptomycin, Lobelin, can