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患婴男,4天。第一胎足月顺产,无产伤及窒息,但脐带晚夹,出生体重3kg。母孕期健康,无服用特殊药物史。患婴出生后第4天出现拒乳、嗜睡、不哭、阵发性发绀、呼吸暂停,产科按新生儿肺炎并中毒性脑病诊治无效,急转我科。体检:体温不升,嗜睡状,不哭,无反应。呼吸56次/分,心率120次/分。黄疸不明显,皮肤暗红色,口唇及肢端明显发绀,呈阵发性加重,并呼吸暂停、口吐白沫、眼球凝视、四肢肌张力增高,发作频繁。前囱平,心、肺及腹部检查无异常。外周血血红蛋白224g/L(22.4g/
Infant boy, 4 days. The first full-term fetus of labor, no injury and asphyxia, but the umbilical cord folder, birth weight 3kg. Mother pregnant healthy, no history of taking special drugs. Infants born on the 4th day after emergence of refusal milk, lethargy, do not cry, paroxysmal cyanosis, apnea, obstetrics according to neonatal pneumonia and toxic encephalopathy diagnosis and treatment, urgent turn our department. Physical examination: body temperature does not rise, lethargy like, do not cry, no response. Breath 56 beats / min, heart rate 120 beats / min. Jaundice is not obvious, dark red skin, lips and acinar obvious cyanosis, paroxysmal aggravated, and apnea, foaming at the mouth, eye gaze, limb muscle tension increased, seizures frequent. Front chimney flat, heart, lung and abdominal examination without exception. Peripheral blood hemoglobin 224 g / L (22.4 g /