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颈部损伤在临床上不多见。该文作者经磁共振成像(MRI)诊断1例颈髓横断的新生儿。病例足月,第2胎,体重3540g。监护胎儿心率正常,但在分娩前出现心率减慢,中位产钳旋转分娩。脐动脉血 pH7.28。生后松软,无自主运动和呼吸。插管时心率超过100/分。进入抢救中心用呼吸机。四肢张力明显低下,对疼痛刺激有极轻微的收缩,拥抱及握持反射阴性,病婴完全处于伸展的仰卧位。阴茎异常明显勃起,胸片正常,初步诊断为出生窒息。生后3天仍无呼吸和自主运动,颈椎X片正常,
Neck injury is rare in clinical practice. The author of magnetic resonance imaging (MRI) diagnosis of a case of cervical spinal cord transection of newborns. Full-term cases, the second child, weight 3540g. Guarding fetus normal heart rate, but heart rate slowed before delivery, midline forceps rotation childbirth. Umbilical artery blood pH7.28. After birth, soft, no movement and breathing. Heart rate when intubation more than 100 / min. Into the rescue center with a ventilator. Limbs tension was significantly lower, very slight contraction of the pain stimulus, embrace and hold the reflex negative, sick baby completely in the extended supine position. Penile anomalies obvious erection, chest X-ray normal, initially diagnosed as birth asphyxia. 3 days after birth still no breathing and voluntary exercise, cervical X-ray normal,