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患儿,男,出生13 d,患儿系母亲第5次妊娠孕38+5周经阴道成功分娩第2胎,患儿Apgar 8~9分,出生体质量3.25 kg,羊水清亮,胎盘完整、脐带绕颈1周。患儿生后一般情况可,生后12 d开始出现间断眨眼,后发作逐渐频繁,伴反应差,喉部可闻及喘鸣音,不伴发热、吐沫、面色青紫、四肢抽搐等。其母既往有近20年的癫痫病史,怀孕前3个月停服抗癫痫药物,孕早期曾有1次癫痫发作。体温38.6℃,呼吸60次/min,脉搏125次/min,血压
Children, male, born 13 days, the fifth-trimester pregnancy in children with 38 +5 weeks of vaginal successfully delivered second child, children with Apgar 8 to 9 points, birth weight 3.25 kg, clear amniotic fluid, placenta intact, Umbilical cord around the neck for 1 week. Children born after the general situation can be, 12 days after birth began intermittent blink, seizures gradually frequent, with poor response, the throat can be heard and wheezing, without fever, spittle, bruising, limbs convulsions. His mother past history of epilepsy nearly 20 years, 3 months before pregnancy stopped taking anti-epileptic drugs, once in the first trimester epileptic seizures. Body temperature 38.6 ℃, breathing 60 beats / min, pulse 125 beats / min, blood pressure