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张姓,男,出生3小时,嘉定人,1979年4月13日入院,住院号51291。第二胎第一产,孕期9个月(?),因其母患精神病而行剖腹产。生后无窒息,体重仅1,940克,于生后2小时即转送我院。途中出现面部及唇周青紫。入院时面部及全身均青紫,呻吟,哭声低,肛温33℃,心率106次/分,呼吸40次/分,呼吸尚规则,吸凹不明显,两肺未闻罗音。按早产儿胎龄估计仅35周加4天。入院后患儿呼吸渐趋短促(80次/分),剑突下可见吸凹,时有屏气,青紫明显,两肺呼吸音闷。给氧后仍呈青紫。诊断为肺透明膜病可能。于生后8小时作胸部X线摄片及血气分析。X线胸片符合肺透明膜病。血气分析:pH7.24,二氧化碳分压43毫米汞柱,缓冲碱32.5毫当量/升,碱余量-7.4毫当量/升,标准重碳酸17.5毫当量/升。结合患
Zhang surname, male, born 3 hours, Jiading people, April 13, 1979 admission, hospital 51291. The second birth of the first birth, 9 months of pregnancy (?), Caesarean section due to their mothers suffering from mental illness. No suffocation after birth, weighing only 1,940 grams, 2 hours after birth that is transferred to our hospital. Appeared on the way the face and lip weeks bruising. Admitted to the hospital when the face and body bruising, moaning, crying low, rectal temperature 33 ℃, heart rate 106 beats / min, breathing 40 beats / min, breathing rules, suction concave is not obvious, the two lungs did not hear rales. According to gestational age of preterm children estimated only 35 weeks plus 4 days. After admission, children breathing gradually short-term (80 beats / min), the suction can be seen under the xiphoid, when the hold-up, clear purple, breath breath boring lungs. After the oxygen was still purple. Diagnosis of hyaline membrane disease may be. 8 hours after birth for chest X-ray and blood gas analysis. X-ray consistent with hyaline membrane disease. Blood gas analysis: pH 7.24, carbon dioxide partial pressure 43 mm Hg, buffer base 32.5 meq / l, base balance -7.4 meq / l, standard bicarbonate 17.5 meq / l. Combined with suffering