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1 临床资料 例1,男,22d,因青紫气促抽搐5h入院。系第一胎过期顺产(2周),出生体重3200g,青紫窒息,全身皮肤暗红色,肢端严重紫绀,反复惊厥,有呼吸暂停。母孕期无异常。体温35.4℃,脉搏180次/min,呼吸60次/min。气促,全身皮肤暗红样青紫,指压充盈时间延长。前囟平坦,瞳孔光反应迟钝,拥抱反射消失,两肺底部闻及湿啰音。Hb240g/L,RBC7.1×10~(12)/L,红细胞压积(PCV)78.9％,血小板(BPC)48×10~9/L。X线胸片示左心缘向右伸延,两肺瘀血。诊断为新生儿红细胞增多症伴心力衰竭。住院后
1 clinical data example 1, male, 22d, convulsions due to bruising gas 5h admission. The first child expired (2 weeks), birth weight 3200g, purple asphyxia, body dark red skin, severe cyanotic extremities, repeated convulsions, apnea. No abnormalities during pregnancy. Body temperature 35.4 ℃, pulse 180 beats / min, breathing 60 beats / min. Shortness of breath, dark red skin blue purple, acupressure filling time extended. Front bland flat pupil light response, hug reflex disappeared, the bottom of both lungs smell and wet rales. Hb240g / L, RBC7.1 × 10-12 / L, hematocrit (PCV) 78.9% and platelet (BPC) 48 × 10-9 / L. X-ray showed left heart edge extending to the right, two lung blood stasis. Diagnosis of neonatal polycythemia with heart failure. After hospitalization