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患儿,男,因“呼吸困难、紫绀、喉中痰鸣1h”于2016年9月2日入院。患儿系第4胎第2产,足月顺产娩出,出生体重3 750g,否认宫内窘迫及窒息史,生后哭声弱,口腔分泌物多,自口腔、鼻腔吸出约5ml白色黏液,喉中痰鸣仍著,伴呼吸急促、困难、口唇紫绀,皮测血氧饱和度80%左右,急转入新生儿科。查体:T36.7℃,P160次/min,R70次/min,SPO2 75%;精神差,烦躁,呼吸急促,喘憋貌,哭声弱,低哑,鼻翼煽动,颜面及四肢发绀,前囟平,
Children, male, due to “breathing difficulties, cyanosis, throat phlegm 1h ” was admitted on September 2, 2016. Children with a second child of the second line of birth, full-term delivery of normal births, birth weight 3 750g, denied intrauterine distress and asphyxia history, crying after birth, oral secretions and more, since the mouth, nasal aspiration about 5ml white mucus, throat In phlegm still, with shortness of breath, difficulty, cyanosis of the lips, skin oxygen saturation measured about 80%, acute into neonatology. Physical examination: T36.7 ℃, P160 times / min, R70 times / min, SPO2 75%; poor spirit, irritability, shortness of breath, wheezing appearance, crying weak, dumb, nasal flaring, facial and limbs cyanosis, Bupleurum,