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患儿,男,10天,因呼吸困难6天入院。第一胎,孕39周顺产,在南宁铁路医院出生。生后无窒息,出生体重3400g,羊膜早破8小时,母产前否认感染及服药史。因生后吃奶即吐,未开奶,第4天出现气促、发绀、呼吸困难,转儿科治疗,按气管给氧、抗感染、能量合剂、地塞米松、碳酸氢钠等治疗。住院六天无好转且出现腹泻转入我院。体检:体温36.7℃,呼吸60次,脉搏140次,体重2800g。神萎、哭声嘶哑、皮肤轻度黄染,口周发绀,有明显三凹征,口吐白沫,两肺可闻干性罗音,心律齐,腹稍胀,肝脾未触及,臀部有糜烂,拥抱反射存在。红细胞500万、白细胞11000、中性粒
Children, male, 10 days, admitted to hospital for 6 days due to breathing difficulties. The first child, pregnant 39 weeks of pregnancy, was born in Nanning Railway Hospital. No suffocation after birth, birth weight 3400g, amniotic membrane premature rupture of 8 hours, maternal denied prior infection and medication history. Due to postpartum numbness is spit, not milk, the first four days of shortness of breath, cyanosis, dyspnea, turn pediatric treatment, according to tracheal oxygen, anti-infection, energy mixture, dexamethasone, sodium bicarbonate and other treatment. Six days of hospital stay without improvement and diarrhea transferred to our hospital. Physical examination: body temperature 36.7 ℃, breathing 60 times, pulse 140 times, weight 2800g. Aphids, crying hoarseness, mild yellowish skin, perioral cyanosis, there are obvious three concave sign, foaming at the mouth, two lungs can be heard dry rales, Qi Qi, abdominal slightly swollen, liver and spleen not touched, buttocks Erosion, hug reflection exists. 5 million red blood cells, white blood cells 11,000, neutral granules