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患儿 男,7天。第1胎足月顺产。产后青紫、窒息,经抢救10分钟后出现哭声,哭声少、不响亮,口周仍青紫。生后第二天转儿科。其母孕7个月时患妊高症。父母体健,非近亲结婚,否认有传染病、遗传病家族病人。查体:体温36℃,脉搏128次/分,呼吸30次/分。发育正常,营养一般。前囟张力不高,头顶右侧有一产瘤。口周发绀。胸对称,双肺可闻水泡音。心脏未见异常。腹平软,脐带包扎好,肝脾未触及,肠鸣音存在。四肢脊柱无畸形,肛门外生殖器无异常发现。四肢肌张力增高,吸吮反射弱,觅食反射、拥抱反射未引出。儿科诊断:新生儿肺炎,新生儿颅内出血,缺血缺氧性肺病。给予支持疗法,抗炎、降低颅内压、止血及对
Children male, 7 days. The first full-term birth of fetus. Postpartum bruising, suffocation, cry after the rescue 10 minutes, less cry, not loud, mouth weeks are still bruising. The second day after birth, turn pediatrics. The mother of pregnancy at 7 months suffering from pregnancy-induced hypertension. Parents healthy, non-relatives married, denied having infectious diseases, genetic family patients. Physical examination: body temperature 36 ℃, pulse 128 beats / min, breathing 30 beats / min. Normal development, nutrition in general. Anterior fontanel tension is not high, there is a tumor on the right side of the head. Zhoukou cyanosis. Chest symmetry, lungs can be heard blisters sound. No abnormal heart. Abdomen soft, umbilical bandaged, liver and spleen not touched, bowel sounds exist. Limb spine without deformity, anus outside the genitals found no abnormalities. Extremity muscle tension increased, sucking reflex weak, looking for food reflex, hug reflex did not lead. Pediatric diagnosis: neonatal pneumonia, neonatal intracranial hemorrhage, hypoxic-ischemic lung disease. Give supportive therapy, anti-inflammatory, reduce intracranial pressure, stop bleeding and right