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病例 患儿男,7天,以“呼吸急促3天加重伴哭闹、张口呼吸1天”入院。系1胎1产,足月顺产,否认窒息抢救史。患儿因呼吸急促在外院按“新生儿肺炎”治疗,呼吸困难加重呈张口呼吸伴哭闹不安,及喉鸣转入院。查体:成熟儿,头过度后仰呈角弓反张状,吸气性呼吸困难,三凹征(+),舌根后下方可见白色鱼漂样卵形囊性物,大小约4.0×5.0×6.0 cm3,加压可变形,心肺腹部及神经系统未发现阳性体征。诊断:急性上呼吸道梗阻,先天性会压囊肿;用16号针穿刺抽出2 ml半透明淡黄色粉液状内容物,之后行囊肿切除术。术后10天痊愈出院。
Male patients, 7 days, with “rapid increase in breath accompanied by 3 days of crying, mouth breathing 1 day” admission. Department of 1 tire 1 production, full-term delivery, denied the history of suffocation rescue. Children due to shortness of breath in the hospital according to “neonatal pneumonia” treatment, increased breathing difficulties mouth breathing with crying uneasiness, and throat into hospital. Physical examination: mature children, over the head was inverted arch angle, inspiratory dyspnea, three concave sign (+), after the tongue can be seen below the white fish floating oval cystic material, the size of about 4.0 × 5.0 × 6.0 cm3, the pressure can be deformed, no signs of positive signs of heart and lung abdomen and nervous system. Diagnosis: Acute upper airway obstruction, congenital cyst will be punctured; with 16 needle puncture 2ml translucent pale yellow powder out of the liquid content, followed by cyst excision. After 10 days cured and discharged.