论文部分内容阅读
例1,男,12天,生后面部青紫,哭声可。一周后出现无明显原因的进奶时呛咳,面部及全身青紫,呼吸不规则,抽搐一次。以肺炎合并心衰入院。体检:体温37.4℃,心率180次/分,呼吸46次/分,精神反应差,全身紫绀明显,呼吸极不规则,双肺呼吸音粗糙,未闻及罗音,心尖部可闻及3/6收缩期杂音。肝右肋下3.5cm、剑突下3.0cm,质软,脾未触及。入院后给予吸氧、强心、利尿、抗感染、纠正酸中毒等治疗无效死亡。死亡诊断:新生儿肺炎合并心衰、肺性脑病。病理检查,男,体重3500g,身长51
Example 1, male, 12 days after birth facial purple, crying can be. After a week there is no obvious reason to choking cough into the milk, face and body bruising, irregular breathing, convulsions once. Pneumonia with heart failure admitted to hospital. Physical examination: body temperature 37.4 ℃, heart rate 180 beats / min, breathing 46 beats / min, poor mental response, obvious cyanosis, very irregular breathing, respiratory sounds rough lungs, no smell and rales, apex can be heard and 3 / Systolic murmur. Liver right rib 3.5cm, xiphoid 3.0cm, soft, spleen not touched. After admission to give oxygen, cardiac, diuretic, anti-infection, to correct acidosis and other treatment of death. Diagnosis of death: neonatal pneumonia with heart failure, pulmonary encephalopathy. Pathological examination, male, weight 3500g, length 51