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患儿男,胎龄39周,体重2200克,骶左前位剖宫产术娩出儿,阿氏评分1分钟9分,5分钟10分。入室查体一般状态差,哭声低,呼吸略促,头小,枕部突出,头围34cm,双耳位置低,右耳廓畸形,眼裂小,口小,鄂弓高而窄,右侧面瘫。胸骨柄短3.8cm,双肺呼吸音低,心音右侧强,左侧低,胸骨左缘2-3肋间Ⅱ-Ⅲ收缩期音,心率120次/分,腹平软,肝脾不大,双手紧握,食指重叠在中指上,小指重叠在无名指,双下肢外展受限,摇椅样足底,足拇指短,背曲,四肢肌张力低,拥抱反射未引出。
Children, male, 39 weeks gestational age, weight 2200 grams, left anterior cesarean section sacral delivery of children, Ash scores 1 minute 9 minutes, 5 minutes and 10 minutes. Birthing general poor state, cry low, breathing a little, small head, occipital prominent, head circumference 34cm, the location of both ears low, right auricle deformity, small ocular fissure, small mouth, bow bow high and narrow, right Lateral paralysis. Sternum stalk short 3.8cm, lung breath sounds low, right heart sound strong, low left, left sternal 2-3 intercostal Ⅱ-Ⅲ systolic tone, heart rate 120 beats / min, abdominal soft, small spleen , Hands clenched, index finger overlap on the middle finger, little finger overlapping ring finger, limited leg outreach, rocker-like plantar, thumb short, dorsiflexion, limb muscle tension is low, hug reflex did not lead.