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新生儿患者,男,出生后两小时突然呼吸急促、困难,随即出现口唇及全身紫绀。体温36.6度。听诊可闻及右肺呼吸音低,伴有湿罗音。 X线连续拍片四张前后间隔共90分钟。胸片1:新生儿右下肺可见小范围斑片状、结节状阴影,密度淡,边界模糊,右肺外带清晰,胸廓、心影、膈肌无异常。 30分钟后胸片 2:左下肺阴影明显增大,累及右上
Neonatal patients, male, two hours after birth, sudden shortness of breath, difficulty, then appeared lips and systemic cyanosis. Body temperature 36.6 degrees. Auscultation can be heard and right lung breath sounds low, accompanied by wet rales. Continuous X-ray film before and after four intervals of 90 minutes. Chest 1: neonatal right lower lung visible patchy small areas, nodular shadows, light density, blurred borders, clear right outer belt, thorax, heart shadow, no abnormalities in the diaphragm. Chest 2 after 30 minutes: the shadow of the left lower lung significantly increased, involving the upper right