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男婴,生后44小时。以呕吐、腹胀44小时急诊入院。为第1胎足月顺产。娩出时轻度窒息。生后呕吐黄水、粘液3次,第2天未排出胎粪,腹胀加剧,来院就诊。父母非近亲结婚。体温36.2℃,脉搏144次/分,呼吸54次/分,体重3750g。神志清,全身皮肤轻度黄染。右侧耳廓畸形,外耳道闭塞。呼吸急促,无鼻扇及紫绀。气管无偏移,胸部左侧较右侧饱满,左肺叩诊清音,右肺叩
Baby boy, 44 hours after birth. To vomiting, abdominal distension 44 hours emergency admission. The first full-term fetus for the first birth. Mild suffocation when delivered. After birth, vomiting yellow water, mucus three times, the first two days did not discharge meconium, abdominal distension worse, to the hospital. Parents marry non-relatives. Body temperature 36.2 ℃, pulse 144 beats / min, breathing 54 beats / min, weight 3750g. Conscious, mild yellowish body skin. Right auricular deformity, external auditory canal occlusion. Shortness of breath, no nose fan and cyanosis. No deviation of the trachea, left chest full right than the left lung percussion voiceless, right lung knock