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例1 男,2月。因生后喉喘鸣,吸吮无力、四肢少动,伴呼吸困难一周入院。体查:营养欠佳,头围37cm,头颅狭长。下颌短小内收,上下咬(?)距1.5cm,侧面观呈鸟嘴样。腭弓高,无腭裂。三凹征阳性,双肺闻及水泡音。四肢肌张力低,双手小指与无名指等长。拥抱反射未引出。胸片示肺炎改变及气管右移。2、3胸椎椎体纵裂,头颅片示尖变畸形。诊断:颌小畸形并先天多发畸形,给予抗感染及保持气道通畅等治疗,终因气道梗阻及肺不张致呼吸衰竭死亡。
Example 1 male, February. Due to postnatal throat wheezing, sucking weakness, limbs less moving, with respiratory difficulties a week hospitalization. Physical examination: poor nutrition, head circumference 37cm, long and narrow head. Short mandibular adduction, bite up and down (?) From 1.5cm, side view was beak-like. High palatal arch, no cleft palate. Three concave sign positive, the lungs smell blisters sound. Limbs muscle tension is low, his little finger and ring finger length. Hugging reflection did not lead. Chest radiograph showed pneumonia and right tracheal shift. 2, 3 thoracic vertebral longitudinal crack, skull showed tip deformity. Diagnosis: Congenital malformations and congenital multiple deformities, given anti-infection and maintain airway patency and other treatment, and finally due to airway obstruction and respiratory failure caused by atelectasis death.