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患儿,女,27天,因拒食2天,突然呼吸停止2次,以“新生儿肺炎”于1989年1月5日收住院。2天前开始拒食,无咳嗽、发热、口吐白沫等,呼吸突然停止2次,均自行恢复自主呼吸,患儿系第一胎足月顺产,无外伤史,体查:体温不升、呼吸、心跳停止,全身明显发绀。即给胸外心脏按摩、人工呼吸、吸氧、呼吸兴奋剂、强心剂等处理后,呼吸、心跳恢复。P140次/分,R40次/分,心肺无异常,双侧病理反射对称(+)。于发病至入院13小时内共出现呼吸暂停12次,每次3—10分钟,心跳停止3次,每次2—3分钟。经抢救,呼吸、心跳虽能恢复,但间隔时间缩短,发作时间逐渐延长,每次发作间歇期。
Children, women, 27 days, due to antifeedant 2 days, a sudden stop breathing 2 times to “neonatal pneumonia” on January 5, 1989 admitted to hospital. 2 days ago began to refuse to eat, no cough, fever, vomiting at the mouth and so on, breathing stopped 2 times, all spontaneous resumption of their own, the first full-term fetus in children with childbirth, no history of trauma, physical examination: body temperature does not rise, Breathing, heartbeat stopped, the body was obviously cyanosis. That is to the chest cardiac massage, artificial respiration, oxygen, respiratory stimulants, such as cardiac therapy, breathing, heartbeat recovery. P140 beats / min, R40 beats / min, no abnormal cardiopulmonary, bilateral pathological reflex symmetry (+). A total of 12 episodes of apnea occurred within 13 hours of admission to hospital, each 3-10 minutes, and the heartbeat was stopped 3 times for 2-3 minutes. After the rescue, breathing, heartbeat can recover, but the interval time is shortened, the attack time gradually extended, each episode of intermittent period.