例1男,16h,足月产,体重3.8kg,第1胎。因面色苍白、哭吵、呼吸困难、腹胀1h由妇产科转入。母孕期体健。体温36.6C,发育正常,哭声低,反应差,全身皮肤苍白,无黄染,呼吸表浅,四肢微凉,脉搏未扪及,心音低,双肺呼吸音低,腹胀,肝右肋下5cm、质软,脾未触及,腹部无移动性浊音,肠鸣音弱,四肢肌张力低,拥抱反射及觅食反射未消失。实验室检查:血红蛋白4.4g/ Example 1 male, 16h, full-term birth, body weight 3.8kg, the first child. Due to pale, crying noisy, dyspnea, abdominal distension 1h transferred from obstetrics and gynecology. Pregnancy and body health. Body temperature 36.6C, normal development, low cries, poor response, pale skin, no yellow dye, shallow breathing, cold extremities, pulse not palpable, low heart sound, low lung tone, bloating, 5cm, soft, spleen not touched, the abdomen without movement dullness, weak bowel sounds, limb muscle tension is low, embracing reflection and foraging reflex did not disappear. Laboratory tests: hemoglobin 4.4g /