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患儿,男,出生28小时,胎龄36周,顺产,生后无窒息,出生体重2250g。因生后口吐泡沫,以新生儿肺炎、早产儿入院。体检:体温33.5℃,呼吸48次,脉搏144次,头围30.5cm。未成熟儿貌。反应尚可,面色红润,口周青,轻度三凹征,前肉平。心音有力,心律整。肺呼吸音粗,腹软,脐无渗血,肝脾未发现异常。肠鸣音存在,新生儿生理反射存在,病理反射未引出。胸部X线摄片示两肺内带纹理粗重,散在小斑点状阴影,以右肺为著。实验室检查:血红蛋白21.5g,
Children, male, born 28 hours, gestational age 36 weeks, natural delivery, postpartum asphyxiation, birth weight 2250g. Spit bubble after birth to neonatal pneumonia, premature children admitted to hospital. Physical examination: body temperature 33.5 ℃, breathing 48 times, pulse 144 times, head circumference 30.5cm. Immature appearance. Reaction is acceptable, looking rosy, mouth Zhou Qing, mild three concave sign, before the meat flat. Strong heart sounds, rhythm whole. Breath sounds coarse lung, abdominal soft, umbilical without bleeding, liver and spleen were not found abnormalities. Bowel sounds exist, neonatal physiological reflex exists, the pathological reflex did not lead. Chest X-ray showed two lungs with coarse texture, scattered spots in the small shadow to the right lung as a. Laboratory tests: hemoglobin 21.5g,