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患儿男,22天,因憋喘半天,突然窒息两次入院。第二胎第二产,足月顺产。生后Ⅰ°窒息,经刺激2分钟后有哭声,呼吸平稳,第二天开始喂奶。生后15天有轻咳,不发热,未就医治疗。无百日咳接触史,生后22天发现患儿憋喘,曾突然窒息两次。入院查体:体温36℃,刺激有反应,呼吸急促,口唇紫绀,三凹征(+),前囟平坦。双肺未闻及干湿性罗音。心率240次/分。腹软,肝脾未触及。实验室检查:血象:WBC2.6×10~9/L,N63%,L29%,E 5%,M 3%。血钙2.0mmol
Children male, 22 days, because of wheezing for a long time, suddenly suffocated twice admitted. Second child second-term, full-term follow-up. After birth, I ° suffocation, after 2 minutes of stimulation have cries, breathing steady, the next day feeding. 15 days after birth, there is light cough, no fever, no medical treatment. No history of pertussis exposure, after 22 days found that children with wheezing, had a sudden suffocation twice. Admission examination: body temperature 36 ℃, stimulus response, shortness of breath, cyanosis of the lips, the three concave sign (+), the front bland flat. Unhealthy lungs and wet and dry rales. Heart rate 240 beats / min. Abdomen soft, liver and spleen not touched. Laboratory tests: blood: WBC2.6 × 10 ~ 9 / L, N63%, L29%, E5%, M3%. Calcium 2.0mmol