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女婴,第一胎第一产,胎龄38周,自然分娩,体重3200克。无窒息,生后心脏听诊心率为60次/分,律齐音钝,未闻杂音,余查体无异常,生后30分钟入病房。产母26岁,孕40~+天曾有两次阴道少量出血史,孕4、7个月曾有两次呼吸道感染史,不发热,未服药。孕37周发现胎心率70、80次/分,B超见胎儿心脏大、脐血流高度异常。入室体验:一般反应好,无呼吸困难及紫纷,呼吸52次/分,肺内无音罗,心率58次/分,律齐,音钝,未闻杂音。腹软,肝脾不大,四肢
Baby girl, the first birth of the first child, gestational age 38 weeks, natural childbirth, weight 3200 grams. No asphyxia, heart rate after auscultation heart rate 60 beats / min, law Qq blunt, no unheard noise, no abnormalities in the examination, 30 minutes after birth into the ward. Productive mother 26 years old, pregnant 40 ~ + days have had a small amount of vaginal bleeding twice, 4,7 months of pregnancy had two respiratory tract infections history, no fever, no medication. 37 weeks pregnant found fetal heart rate 70,80 beats / min, B-to see fetal heart, umbilical blood flow is highly abnormal. Into the room experience: the general response is good, no breathing difficulties and Zi Fen, breathing 52 beats / min, no lung lung Luo, heart rate 58 beats / min, law Qi, blunt sound, unheard noise. Abdomen soft, liver and spleen not, limbs