患儿,男,0.5h,因生后唇及甲床发绀0.5h入院。患儿系第1胎第1产,妊35周,母孕早中期反复发生妊娠肝内胆汁瘀积症。因“胎膜早破,脐带绕胎身一周”急诊剖宫产。羊水清,胎盘无钙化,出生体重2.9kg,Apgar评分1、5、10min分别为8、9、8分。生后无喂养,未排大小便。入院查体:体温36.5,脉搏130次/min,呼吸40次/min,体重2.9kg。早产儿貌,反应差,哭声小,面色欠红,唇周青,口唇微绀,呼吸平稳,皮肤覆有胎脂,头颅及器官外观无畸形,前囟1.5cm×1.5cm,甲床发绀,双肺呼吸音粗,心、腹(-),四肢肌力及 Children, male, 0.5h, 0.5h due to postnatal lip and nail bed hospitalization. Children with first-line fetus 1 production, 35 weeks of pregnancy, mothers pregnancy early pregnancy recurrence of intrahepatic cholestasis. Due to “premature rupture of membranes, umbilical cord around the car tire ” emergency cesarean section. Amniotic fluid, placental calcification, birth weight 2.9kg, Apgar score 1,5,10 min were 8,9,8 points. No feeding after birth, not row of urine. Admission examination: body temperature 36.5, pulse 130 beats / min, breathing 40 beats / min, weight 2.9kg. Premature babies appearance, poor response, crying small, looking less than red, lip weeks blue, lips cyanosis, smooth breathing, skin covered with fetal fat, head and organ appearance without deformity, anterior fontanel 1.5cm × 1.5cm, , Breath sounds coarse lungs, heart, abdomen (-), muscle strength and limbs