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病历摘要患儿,男,第一胎足月剖腹产。母孕期无患病史。生后出现青紫,不会啼哭,羊水中混有大量眙粪,经气管插管吸出多量混浊羊水后啼哭,体检:体温36.5℃,呼吸38次,脉搏140次,体重3kg。神清。口唇发绀,鼻翼扇动,肺部可闻散在性湿罗音。心律整,各瓣膜未闻及杂音。腹软,肝肋下3cm,质软,表面光滑,脾未触及。白细胞26900,中性粒细胞25％,淋巴细胞23％,单核细胞2％,红细胞497万,血红蛋白14.5g,血小板11万。出血时间4分,凝血时间2分,血气分析:PH7.074,CO_210.377mmHg,PO_200mmHgr,HCO_3~-13.7mEq/l,BE—11.6mEq/l,CO_2CP25Vol/dl。胸片示:吸入性肺炎。临床诊断:吸入性肺炎,混合性酸中毒。经吸氧,使用氮基(艹卡)青霉素,碳酸氢
Medical records Abstract Child, male, full-term caesarean section. Pregnancy without any history of illness. After birth, purple, not crying, amniotic fluid mixed with a large number of fecal excretion of excessive turbid amniotic fluid after intubation, crying, physical examination: body temperature 36.5 ℃, breathing 38 times, pulse 140, weight 3kg. God clear. Cyanosis lips, nose flap, the lungs can be heard scattered in the wet rales. Whole heart rhythm, the valve did not smell and noise. Abdomen soft, liver ribs 3cm, soft, smooth surface, spleen not touched. 26900 leukocytes, 25% neutrophils, 23% lymphocytes, monocytes 2%, 497000 erythrocytes, hemoglobin 14.5g, 110000 platelets. Bleeding time 4 points, clotting time 2 points, blood gas analysis: PH7.074, CO_210.377mmHg, PO_200mmHgr, HCO_3 ~ -13.7mEq / l, BE-11.6mEq / l, CO_2CP25Vol / dl. Chest radiograph shows: Aspiration pneumonia. Clinical diagnosis: Aspiration pneumonia, mixed acidosis. After the oxygen, the use of nitrogen (card card) penicillin, bicarbonate