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患儿系双胎大、小女,生后15 min,因“呼吸急促伴呻吟”入院。母亲29岁,自然妊娠,第4胎第1、2产,胎龄36周,胎膜早破4 h顺产娩出,胎盘完整,胎盘间血管交错。母孕34+4周产前检查B超提示宫腔内探见两个胎儿,无结构异常,未测量羊水量。唐氏筛查低危,母TORCH检查Ig M均阴性。母血型Rh阳性A型,父血型Rh阳性A型,无双胎家族史,无慢性病及遗传病史。入院查体:小女:T 36.0℃,P 165次/min,R 68次/min,神志清,反应
Children with twins, daughters, 15 min after birth, because of “shortness of breath with moaning ” admission. Mother 29 years old, natural pregnancy, the first 4 births 1 and 2, gestational age 36 weeks, 4 h premature rupture of membranes delivered by birth, the placenta is complete, inter-placental vascular interlacing. Maternal 34 +4 weeks prenatal examination B-tips intrauterine exploration to see two fetuses, no structural abnormalities, not measured amniotic fluid volume. Down’s screening of low-risk, mother TORCH IgM were negative. Maternal blood type Rh positive A type, father blood type Rh positive A type, unmarried family history, no chronic disease and genetic history. Admission examination: Daughter: T 36.0 ℃, P 165 times / min, R 68 times / min, clear mind, reaction