论文部分内容阅读
文献尚无新生儿继发于孤立性主动脉缩窄(ICA)高血压脑病的报导,作者报导1例。病例报告:出生体重3,600g,女婴。因喂奶困难和昏睡,于生后11天入院。体检:体温36.4℃,脉率140/分,呼吸80/分,血压200/112mmHg(右臂)。高音调哭泣,急性呼吸窘迫。两肺满布罗音。胸骨左下缘有2/6级收缩期喷射性杂音。股动脉搏动减弱。肝右肋下缘5 cm。眼底正常。实验室检查:血糖、钙、钾、CO_2、BUN、肌酸酐和尿常规均正常。动脉血气分析:pH7.35,PO_239mEq/L,重碳酸盐21mEq/L,氧饱和度96%。脑脊液:常规、糖和蛋白质均正常。血、尿和脑脊液
No newborns have been reported in the literature from isolated aortic constriction (ICA) hypertensive encephalopathy, the authors report in 1 case. Case report: birth weight 3,600g, baby girl. Because of difficulty in feeding and lethargy, admitted to hospital after 11 days of life. Physical examination: body temperature 36.4 ℃, pulse rate 140 / min, breathing 80 / min, blood pressure 200 / 112mmHg (right arm). Cry in high pitch, acute respiratory distress. Two lungs full of ram sound. Sternal left lower edge of 2/6 systolic ejection murmur. Femoral pulse weakened. Right lower edge of the liver 5 cm. Fundus normal. Laboratory tests: blood glucose, calcium, potassium, CO_2, BUN, creatinine and urine were normal. Arterial blood gas analysis: pH7.35, PO_239mEq / L, bicarbonate 21mEq / L, oxygen saturation of 96%. Cerebrospinal fluid: routine, sugar and protein are normal. Blood, urine and cerebrospinal fluid