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患儿男,生后20min入院,第1胎第1产,胎龄34周,母30岁,因重度妊娠高血压伴先兆子痫剖宫产。患儿无宫内窘迫,羊水清,脐带绕颈2周,1min阿氏评分7分,5min评分8分,急诊转入我科。入院查体:T36.2,R70次/分,Wt2000g,头围29cm,身长40cm,躯干皮肤红,四肢末端青紫,皮肤散在针尖大小出血点,头顶部可见3处皮肤缺损,直径0.5-1.0cm。双颊部发际低,眼距宽,整个上唇裂开并通向鼻孔,中线部可见4个小息肉,鲜红色,直径约0.5cm,腭裂贯通软腭、硬腭至鼻孔。双肺听诊呼吸音清,无罗音。心前区可闻及2/6收缩期吹风样
Male children, 20min after birth admitted to hospital, the first child of the first production, gestational age 34 weeks, 30 years old mother, due to severe pregnancy-induced hypertension with preeclampsia cesarean section. Children without intrauterine distress, amniotic fluid clear, umbilical cord around the neck for 2 weeks, 1min Ah score 7 points, 5min score 8 points, emergency department transferred to our department. Admission examination: T36.2, R70 beats / min, Wt2000g, head circumference 29cm, length 40cm, trunk skin red, extremity end bruising, the skin scattered in the tip of the size bleeding point, the top of the head visible three skin defects, diameter 0.5-1.0cm . Cheek hair low, wide ocular distance, the entire upper lip rupture and leads to the nostrils, visible midline minibus 4, bright red, diameter of about 0.5cm, cleft palate through the soft palate, hard palate to the nose. Respiratory lung sounds auscultation clear, no Luo sound. Heart area can be heard and 2/6 systolic hair style