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例1,男,23小时,足月,出生体重3200克。因臀位产后出头分娩困难而用产钳助产。无羊水吸入。生后10h出现唇周青紫,但能正常进食,哭声宏亮。生后22h出现阵发性呼吸暂停,以“新生儿肺炎”收住院。查患儿反应尚好,呼吸稍浅,阵发性呼吸暂停,唇周轻度紫绀,但无抽搐及吐奶,前囟张力不高,听诊心、肺无异常。入院2h后反应渐差,并时有双目凝视,前囟张力增高。血红蛋白150g/L,血小板179×10~9/L,出、凝血时间正常。
Example 1, male, 23 hours, term, birth weight 3200 grams. Midwifery due to breech delivery midwifery labor forceps. No amniotic fluid inhalation. 10h after birth lip weeks bruising, but normal eating, crying loud. 22h after birth paroxysmal apnea, “neonatal pneumonia” admitted to hospital. Check the child’s response is still good, breathing slightly lighter, paroxysmal apnea, mild cyanosis lip, but no convulsions and spit milk, anterior fontanel tension is not high, auscultatory heart, lung no abnormalities. 2h after admission response gradually worse, and sometimes binocular gaze, anterior fontanel tension increased. Hemoglobin 150g / L, platelets 179 × 10 ~ 9 / L, out, clotting time is normal.