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患儿,男,1天。因生后窒息抢救后以吸入性肺炎入院。胎龄32周,早期破水,正常娩出,初生体重1650克。查体:早产儿外貌。反应差,口周发绀,双肺呼吸音粗,心音正常。肝脾不大,生理反射弱。实验室检查:血常规Hb196g/L,WBC11.6×10~9/L,血小板95×10~9/L,6天后WBC29.6×10~9/L。电解质无异常,咽拭子培养及血培养均为大肠杆菌生长。入院后保温、吸氧、鼻饲、抗生素等治疗。入院当天反复出现阵发性呼吸暂停,第4天体温39℃,频繁抽搐,呼吸衰竭,死前3小时双肺突然出现密集水泡音,经抢救无效死亡。临床诊断:肺炎,大
Children, male, 1 day. Resuscitation after asphyxiation to aspiration pneumonia admission. 32 weeks gestational age, early broken water, normal delivery, birth weight 1650 grams. Physical examination: appearance of premature children. Poor response, perioral cyanosis, lung breath sounds coarse, normal heart sounds. Small hepatosplenomere, physical weakness. Laboratory tests: blood Hb196g / L, WBC11.6 × 10 ~ 9 / L, platelets 95 × 10 ~ 9 / L, WBC29.6 × 10 ~ 9 / L after 6 days. No abnormal electrolyte, throat swab culture and blood culture are E. coli growth. Admission after insulation, oxygen, nasal feeding, antibiotics and other treatment. On the day of admission, episodes of paroxysmal apnea were repeated. On the fourth day, the body temperature was 39 ℃. Frequent seizures and respiratory failure occurred in the lungs immediately after 3 hours before death. Clinical diagnosis: pneumonia, large