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男婴.4天。第一胎第一产,足月分娩,枕先露,会阴侧切助产。出生体重4.1公斤。生后青紫窒息,经清理呼吸道及拍打足底后出现哭声,青紫消失。生后第4天,小儿突然烦躁不安、气促、拒乳,于1984年3月13日3时入院。体检。T 35.5℃,R 60次/分,脉搏测不到,发育正常,营养良好。神志模糊,面色苍白,巩膜轻度黄染,双侧瞳孔直径3mm,对光反应迟钝。口唇苍白,颈软,胸廓对称,胸式呼吸增强,吸气三凹征阴性,双肺呼吸音粗糙,无啰音。心率160次/分,节律整,心音低钝,未闻及杂音。腹略胀,腹软,肝肋下4cm,质地软,表面光滑,边缘
Baby boy .4 days. The first birth of the first child, full-term childbirth, occipital first dew, episiotomy lateral midwifery. Birth weight 4.1 kg. Asphyxiation after birth, after cleaning the respiratory tract and tap the bottom of the cries, purple disappeared. 4 days after birth, children suddenly irritability, shortness of breath, refusing milk, at 3:00 on March 13, 1984 admitted. Physical examination. T 35.5 ℃, R 60 times / min, pulse can not be measured, normal development, good nutrition. Ambiguity, pale, scleral mild yellow dye, bilateral pupil diameter 3mm, unresponsive to light. Pale lips, neck soft, symmetrical thorax, thoracic respiratory enhancement, suction three concave sign negative, lung breath sounds rough, no rales. Heart rate 160 beats / min, whole rhythm, low heart sound blunt, no smell and noise. Abdominal swelling, abdominal soft, liver ribs 4cm, soft texture, smooth surface, the edge