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病例1,女,2d,因“发现腹水2天”为主诉入院。患儿系3胎1产,胎龄39周,足月顺产,胎膜早破12h,羊水浑浊,量多,出生体重3 000g,Apgar评分1min、5min分别为4分、7分。产前B超检查发现胎儿腹水。查体:体温正常,神志清,口周发绀,前囟平软,心肺未见异常,腹部膨隆,呈蛙腹状,腹肌张力差,叩诊呈移动性浊音,肝右肋下1.5cm,质软,拥抱反射不全,四肢肌张力正常。血常规:WBC
Case 1, female, 2d, due to “found ascites 2 days ” mainly for admission. Children with 3 fetuses and 1 fetus, gestational age 39 weeks, full-term spontaneous delivery, premature rupture of membranes 12h, amniotic fluid turbidity, volume, birth weight 3 000g, Apgar score 1min, 5min were 4 points, 7 points. Prenatal B-ultrasound found fetal ascites. Physical examination: normal body temperature, clear consciousness, perioral cyanosis, anterior fontanelle soft, no abnormal heart and lungs, abdomen bulging, was frog belly, abdominal muscle tension, percussion was mobile dullness, right hepatic ribs 1.5cm, quality Soft, embracing reflex, limb muscle tone normal. Blood: WBC