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患儿男,1~+小时,第6胎,第一产,39~(+1)周孕,在我院产科自然娩出。未用麻醉剂及镇痛剂。出生体重2650g。Apgar评分;一分钟6分(呼吸、肌张力、肤色、反应各扣一分)。经吸痰吸氧5分钟,Apgar二评7分(呼吸、脸色、反应各扣一分)。羊水中量Ⅱ°。给氧下呼吸,脸色不能改善。1~+小时后转入我科,入院时Apgar再评分7分(呼吸、肤色、反应各扣1分)。体检:呼吸(给氧下)52次/分,脉博:120次/分,T:不升。成熟儿貌,对各种刺激反应差,面色稍苍白,呼吸浅快,唇周发绀,有鼻搧。三凹征不明显,烦躁,激惹,无抽搐,入睡困难,前囟平软,无张力,双眼瞳孔等大等园,颈软,双肺
Male children, 1 ~ + hours, 6th births, the first production, 39 ~ (+1) weeks pregnant, obstetric delivery in our hospital naturally. Unused anesthetics and analgesics. Birth weight 2650g. Apgar score; one minute 6 minutes (breathing, muscle tone, color, the reaction of each deduction). Oxygen suction sputum for 5 minutes, Apgar two rating 7 (breathing, face, the reaction of each deduction). Amniotic fluid volume Ⅱ °. Breathing under oxygen, his face can not be improved. 1 ~ + hours later transferred to our department, Apgar then scored 7 points on admission (breathing, skin color, the reaction deducted 1 point). Physical examination: Breathing (given oxygen) 52 beats / min, pulse rate: 120 beats / min, T: not ascending. Mature appearance, poor response to various stimuli, looking slightly pale, shallow breathing, lip cyanosis, nose fan. Three concave sign is not obvious, irritability, irritability, no convulsions, difficulty falling asleep, the anterior fontanelle soft, no tension, eyes and other large park pupils, neck soft, lung