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患儿男,因“早产儿,生后15 min”转入我科。系第1胎第1产,胎龄30+3周自然分娩,出生体重1 400 g,Apgar评分1 min 3分,5 min 6分。其母妊高征,此胎为双胎之一,另一胎为正常女婴。入院查体:P 120次/min,R 63次/min,BP 63/32 mmH g,唇发绀,三凹征(+),两肺呼吸音低。WBC 3.67×109/L,N 40.1%,Hb 170 g/L,PLT 145×109/L,CRP35.8 mg/L;APTT 76.1 s,PT 20.6 s;CK-MB 73 U/L。入院后予以肺表面活性物质、机械通气、对症支持治
Children male, because “premature children, after birth 15 min ” into my department. Department of the first birth of the first child, gestational age 30 +3 weeks of natural childbirth, birth weight 1 400 g, Apgar score 1 min 3 min, 5 min 6 min. The pregnancy-induced hypertension, the fetus is one of the twins, the other child is a normal baby girl. Admission examination: P 120 beats / min, R 63 beats / min, BP 63/32 mmHg, cyanosis of the lips, three concave signs (+), two lungs low breath sounds. WBC 3.67 × 109 / L, N 40.1%, Hb 170 g / L, PLT 145 × 109 / L, CRP 35.8 mg / L; APTT 76.1 s, PT 20.6 s; CK-MB 73 U / L. After admission to pulmonary surfactant, mechanical ventilation, symptomatic and supportive governance