男婴,1987,5,25在我院足月顺产娩出,胎膜早破。生后一般情况好。生后13小时呼吸70次,口周稍发绀,可见三凹征,双肺间粗湿罗音,曾鼻管吸氧3小时,症状有所缓解,停氧观察。第二天拒奶,哭时失音,喉部似有痰液阻塞,可见吸气性呼吸困难,再次吸氧。第三天体温38.9℃,呼吸90次,心率160次,肝肋下约3cm,拟诊新出儿肺炎,心衰、呼衰,予抗生素、补液、抗心衰及头罩吸氧等治疗,无明显好转,抢救无效死亡,抢救时气管插管发现,会厌前上方有一约1.5×1.5cm肿物。心电图示窦 Baby boy, 1987,5,25 full-term delivery in our hospital, premature rupture of membranes. After the general good condition. 13 hours after birth, breathing 70 times, slightly cyanosis of the mouth week, showing the three concave sign, lungs between the wet rales, nasal tube oxygen 3 hours, the symptoms have eased, stop oxygen observation. Refusing milk the next day, crying aphonia, throat sputum seems blocked, showing breathing difficulties breathing again oxygen. The third day the body temperature 38.9 ℃, breathing 90 times, the heart rate of 160 times, about 3cm under the liver ribs, the proposed diagnosis of neonatal pneumonia, heart failure, respiratory failure, antibiotics, rehydration, anti-heart failure and hood oxygen therapy, No significant improvement, rescue dead, rescue tracheal intubation found, epiglottis above a 1.5 x 1.5cm tumor. Electrocardiogram sinus