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病例摘要患儿,女,2天,第2胎,第1产,足月自然分娩。出生时Apgar评分10、10,10。体重2500g,身长46cm,生后第2天因吸乳少,口吐白沫来我院救治,体检:流涕,唇周发绀,神萎,频繁抽搐,呼吸80次/分。心率156次/分,双肺呼吸音粗糙,右肺有中、细湿呜,胸骨左缘第2~4肋间可闻3~4级收缩期杂音,并向左腋下、肩胛区传导,心音低钝。肝肋下1cm。使用联邦德国Hewlett-Packard公司新生儿监护仪发现,标准导联Ⅰ、Ⅱ、ⅢP波高尖(>0.3mv),T波倒置,ST段压低,R/S<1,呼吸80~90次/分,呼吸波型基本规
Case Summary Children, female, 2 days, 2nd child, 1st birth, full term natural childbirth. Apgar score at birth 10,10,10. Body weight 2500g, body length 46cm, 2 days after birth due to less suction, foaming at the mouth to our hospital for treatment, physical examination: runny nose, cyanosis lip weeks, Shen Wei, frequent convulsions, breathing 80 beats / min. Heart rate 156 beats / min, lungs, breathing sounds rough, the right lung has, fine wet woo, left sternal border 2 to 4 intercostal 3 to 4 systolic murmur, and to the left axilla, scapular conduction, Low heart sound Liver ribs 1cm. Using the German Hewlett-Packard neonatal monitor found that standard lead Ⅰ, Ⅱ, ⅢP wave tip (> 0.3mv), T wave inversion, ST segment depression, R / S <1, breathing 80 to 90 beats / min , Respiratory wave basic rules