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患儿男,12天,住院号873778。系第2胎,足月、横位、右臂先露2小时来院。入院后立即行全麻下内倒转术,术后臀位牵引娩出,出生后苍白窒息10余分钟。于生后6小时内每哭闹时均出现颜面发绀、呼吸困难,产科以“新生儿吸入综合征”转入儿科。查体:T36℃,P 152次/分,R62次/分。哭时鼻根及口周发绀,颈软,右侧颈部皮肤可见3×5cm 淤血斑,呼吸急促,以胸式呼吸为主,右侧呼吸音减弱,无干湿罗音,心律整齐,吸吮及觅食反射存在。X 线摄片示:右侧膈肌升高,膈顶缘位于第3肋骨前端处,肋膈角及膈缘清楚(X 线号:26060)。透视:右膈呼吸运动明显减弱并出现矛盾运动,深呼吸时有轻微的纵隔摆动。深吸气时右肺透亮度比左肺低。临
Children male, 12 days, hospital number 873778. Department of the second child, full-term, horizontal, right arm exposed to 2 hours to hospital. Immediately after admission under general anesthesia in the inverted surgery, postoperative breech traction delivery, after birth pale asphyxia more than 10 minutes. Within 6 hours after birth, every facial expression appears cyanosis and dyspnea when crying. Obstetrics and gynecology is transferred to pediatrics with “Neonatal Inhalation Syndrome”. Physical examination: T36 ℃, P 152 times / min, R62 times / min. Crying nasal roots and perioral cyanosis, neck soft, visible on the right side of the neck skin 3 × 5cm congestion spots, shortness of breath to chest-based breathing, the right breath sounds weakened, no wet and dry rales, tidy heart rhythm, sucking And foraging reflex exists. X-ray showed: the right diaphragm increased, the top edge of the diaphragm in the third rib anterior end, costophrenic angle and phrenic margin (X number: 26060). Perspective: Right diaphragmatic respiratory movement was significantly weakened and contradictory exercise, breathing a slight deep mediastinal swing. Deep breathing through the right lung when the brightness is lower than the left lung. Pro