论文部分内容阅读
患儿,女,生后17小时。患儿系妊报42周~+滞产4天后剖腹产第一胎,生后重度室息。经抢救20分钟复苏。复苏后明显气急、呻吟,呼吸浅表不规则。四肢抽动,面色阵阵紫绀,经抢救11小时后转入我院。查体:体温35.3℃、呼吸65次、脉搏140次,体重3900g。足月新生儿外貌,面色灰白,口唇紫绀,前囱约2cm×2cm,饱满张力大。颈部抵抗,双肺呼吸音粗,心率140次,四肢肌张力较高,余无异常。白细胞2.3×10~6/L,中性80％,淋巴20％,血红蛋白200g/L,血小板100×10~9/L。入院后经给青霉素、碳酸氢钠、维生素K等治疗病情无好转。次日发现肩部、脐以下均硬肿,血气分析
Children, women, 17 hours after birth. Pediatric department of pregnancy reported 42 weeks ~ + 4 days after labor with cesarean section of the first child, post-natal severe room interest. Rescued 20 minutes recovery. Obviously shortness of breath after recovery, moaning, breathing superficial irregular. Twitching limbs, complexion cyanosis, after 11 hours of rescue into our hospital. Physical examination: body temperature 35.3 ℃, breathing 65 times, pulse 140 times, weight 3900g. Full-term newborn appearance, pale, cyanotic lips, front chimney about 2cm × 2cm, full of tension. Neck resistance, breath sounds coarse lungs, heart rate 140 times, limb muscle tension higher, I no exception. Leukocyte 2.3 × 10 ~ 6 / L, neutral 80%, lymph 20%, hemoglobin 200g / L, platelet 100 × 10 ~ 9 / L. After admission to penicillin, sodium bicarbonate, vitamin K and other treatment did not improve the condition. Shoulder found the next day, below the umbilical sclerosis, blood gas analysis