论文部分内容阅读
患女,生后24h,以面色青紫,口吐白沫1d入院。系孕1产1,足月横位,经内倒转后侧切分娩。Apgar评分1min7分,5min8分。生后一直面色青紫,口吐白沫,无抽搐及呕吐。查体:T36℃,体重3.1kg。反应差,面部、口唇及四肢均青紫,哭时青紫加重。前囱饱满,颅缝裂开。桶状胸,对称,R42次/min,右肺呼吸音粗,左肺呼吸音低,心脏听诊无异常。腹软,肝右肋下3cm,剑突下3.5cm,脾未触及,肠鸣音亢进。四肢肌张力低,原始反射消失。入院后20h
Affected women, after birth, 24h, to look bruising, foaming at the mouth 1d admission. Department of pregnancy 1 1, full-term transverse position, after the transfer of the lateral incision delivery. Apgar score 1min7 minutes, 5min8 minutes. After his life has been looking bruising, foaming at the mouth, no convulsions and vomiting. Physical examination: T36 ℃, weight 3.1kg. Poor response, face, lips and limbs are bruising, purple purple when crying. Full before the chimney, suture cracked. Barrel chest, symmetrical, R42 times / min, right lung breath sounds coarse, low left lung breath sounds, auscultation of the heart no abnormalities. Abdominal soft, right ribs 3cm under the liver, xiphoid 3.5cm, spleen not touched, bowel sounds hyperthyroidism. Limb muscle tension is low, the original reflex disappears. 20h after admission