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例1 男,为弃婴,生于厕坑中,生后21小时因口周发青于1982年11月18日收入院。查体:体温、呼吸、脉搏均正常,体重3070g,身长52cm,头围33cm,营养中等,反应较差,哭声低弱,压迫腹肌后增强,头形正常,眼球运动尚好,吸吮育力,吞咽正常,口周皮肤略发绀,呼吸较浅,呈膈式,吸气时肋间凹陷,胸廓窄,不对称,肋骨下缘外翻,脊柱侧弯,心肺未见异常,腹部膨隆,肠鸣音存在,膀胱无尿潴留,颈肌,腹肌和四肢肌肉明显弛缓,仅在上肢前臂和双下肢远端肌肉有轻微活动,左腕下垂,左手常呈特殊交迭握拳姿势,双手通贯掌,下肢
Example 1 Male, abandoned baby, was born in the toilet pit, 21 hours after birth due to perioral blush on November 18, 1982 income hospital. Physical examination: body temperature, breathing, pulse are normal, weight 3070g, body length 52cm, head circumference 33cm, moderate nutrition, poor response, low cries, abdominal pressure enhanced, head shape is normal, eye movement is good, sucking force , Swallowing normal, perioral skin slightly cyanotic, shallow breathing, was a diaphragm, inhalation of intercostal depression, thoracic narrow, asymmetric, valgus lower edge valgus, scoliosis, no abnormal heart and lungs, abdominal bulging, intestinal The presence of the beeps, bladder urinary retention, neck muscle, abdominal muscles and limb muscles were significantly relaxed, only in the upper extremity forearm and lower extremity distal muscles slightly active, left wrist drooping, left hand often showed a special overlapping fist gestures, hands through palm Lower limbs