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患儿男性,1天,第一胎,第一产,足月顺产,有宫内窘迫史,生后轻度窒息,1分钟Apgar评分4分,羊水混,体重2300g,经人工呼吸,脐注“小三联”等抢救5分钟有哭声,继而精神萎靡,反应差,当天转入本院儿科。母孕期体健,临产前一周血压140/90,产前2天用过硫酸镁,分娩前血压正常。检查:体温不升,面色红,精神差,唇周微绀,心率110次/分,两肺有少量湿罗音,肝脾未及,脐无分泌物。诊断新生儿窒息、吸入性肺炎。给予保暖、抗炎等处理。第二天起吸吮有力,两肺湿罗音消失。住院第五天体温不稳定(35～38.5℃),
Children with males, 1 day, the first child, the first birth, term full-term pregnancy, history of intrauterine distress, mild suffocation after birth, 1 minute Apgar score 4 points, amniotic fluid, weight 2300g, after artificial respiration, “Small triple” and other rescue cry for 5 minutes, then apathetic, poor response, transferred to our hospital pediatrics. Pregnant women during pregnancy, prenatal week blood pressure 140/90, prenatal 2 days with magnesium sulfate, normal blood pressure before delivery. Check: body temperature does not rise, looking red, poor spirit, lip weeks cyanosis, heart rate 110 beats / min, two lungs have a small amount of wet rales, liver and spleen not yet, umbilical no secretions. Diagnosis of neonatal asphyxia, aspiration pneumonia. Give warm, anti-inflammatory treatment. Sucking power the next day, both lungs disappear wet rales. On the fifth day of hospitalization, the body temperature is unstable (35 ~ 38.5 ℃)