1病例摘要第1胎,孕36周,单卵双胎之长子,因胎心减慢行剖宫产术娩出,羊水Ⅲ度污染,生后无窒息,Apgar评分8分,5分钟后10分。脐带细长,呈螺旋状,直径0.6cm(次子脐带正常,直径2cm),出生体重2000g(次子2650g)。出生时发生全身水肿,精神、反应弱,体温低,于生后3小时由外院转入本院。 1 case summary The first child, 36 weeks of gestation, single-egg twins of the eldest son, due to fetal heart rate slow cesarean delivery, amniotic fluid III degree of pollution, postnatal asphyxia, Apgar score of 8 points, 5 minutes after 10 points . Umbilical cord is slender, spiral, diameter 0.6cm (second son cord normal, diameter 2cm), birth weight 2000g (second child 2650g). Whole body edema at birth, the spirit, the reaction is weak, low body temperature, 3 hours after birth from outside the hospital into this hospital.