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患儿男,主因“窒息复苏后30 min”转入新生儿科。系第2胎第2产,胎龄39周因母亲“疤痕子宫”剖宫产娩出,出生体重2 585 g,位于第5百分位,为非匀称型小于胎龄儿,生后哭声低,Apgar评分1 min 5分,5 min 8分,羊水清,脐带胎盘未见异常,否认“宫内窘迫”史。查体:T 36.6℃,P 152次/min,R 54次/min,头围33 cm,身长46 cm,皮肤苍白,哭声低,眼距不宽,鼻梁不低,口腔软腭处缺如,下颌偏小,心前区可闻及Ⅱ/6级收缩期杂音,尿道下裂,阴茎短
Children male, the main reason for “asphyxiation recovery 30 min ” into the neonatology. Department of the second child of the second production, gestational age 39 weeks due to mother “scar uterus ” cesarean delivery, birth weight 2 585 g, located in the 5th percentile, non-uniform type less than gestational age children, cry after birth Low voice, Apgar score 1 min 5 min, 5 min 8 min, amniotic fluid, umbilical cord placenta no abnormalities, denied “intrauterine distress ” history. Physical examination: T 36.6 ℃, P 152 times / min, R 54 times / min, head circumference 33 cm, length 46 cm, pale skin, low cries, wide ocular antrum, Mandibular small, precordial area can be heard and Ⅱ / 6 systolic murmur, hypospadias, short penis