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女婴,3.5kg生后10小时。第一胎第一产,足月顺产,羊水较少,混浊。生后2小时突然面色发绀、呼吸困难、口吐白沫,经吸氧、肌注洛贝林好转。拟诊“吸人性肺炎”转我科。体检:腋温36.5℃,头围34.5cm,身长51cm。呼吸40次/分。头颅外观正常,前囟平2×2cm,下颌短小,上腭裂开,舌厚短而后缩。呼吸音清晰,心率150次/分,律齐,无杂音,腹平软,肝脾未及。转入后肌注氨苄青霉素、吸氧对症治疗。入院后6小时再次出现呼吸困难、面绀,当即侧卧很快缓解。此后每取仰卧有类似发作
Baby girl, 3.5kg 10 hours after birth. The first birth of the first birth, term full-term, less amniotic fluid, cloudy. 2 hours after birth, suddenly looking cyanotic, dyspnea, foaming at the mouth, the oxygen inhalation, intramuscular lobolin turn for the better. The proposed diagnosis of “aspiration pneumonia” turn my department. Physical examination: axillary temperature 36.5 ℃, head circumference 34.5cm, length 51cm. Breathe 40 beats / min. Head appearance is normal, anterior bland horizontal 2 × 2cm, jaw short, cleft palate open, thick tongue shortened. Breath sounds clear, heart rate 150 beats / min, Law Qi, no noise, abdominal soft, liver and spleen not yet. Intramuscular injection of ampicillin, oxygen symptomatic treatment. 6 hours after admission again dyspnea, facial cyanosis, immediately side lying quickly ease. After each supine have a similar attack