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患儿,女,8小时,足月儿,早破水时间不详,羊水有臭味,在家生产,生后青紫忙于抢救小儿10分钟结扎脐带。小儿娩出时位置低于母亲。母孕期体健,否认家族遗传病史。查体:呼吸40次浅表,脉搏100次,体重3500g。口唇紫绀,而灰,四肢肌张力低下,双肺可闻痰鸣音,心脏未闻杂音,肝脾未及,脐无渗血,胸片无异常,血红蛋白34g,红细胞1000万,白细胞15000,末稍血晚幼红细胞3％,骨髓象增生活跃,粒:红1.5:1,红细胞系统中幼红胞增细
Children, women, 8 hours, full-term children, premature rupture of water is unknown, amniotic fluid smell, at home production, cyanosis is busy saving children 10 minutes ligation of the umbilical cord. Pediatric childbirth position lower than the mother. Pregnant women during pregnancy, denied family history of genetic disease. Physical examination: breath 40 times superficial, pulse 100 times, weight 3500g. Lips cyanosis, and gray, limb muscle tone is low, the lungs can be heard phlegm, the heart did not hear noise, liver and spleen not yet, no bleeding umbilical, chest X-ray abnormalities, hemoglobin 34g, 10 million red blood cells, white blood cells 15000, the end RBC slightly erythroblasts 3%, bone marrow hyperplasia active, grain: red 1.5: 1, erythrocyte system, red blood cells increased thinning