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患儿,男,住院号56844,生后第6天以新生儿肺炎住院,病情好转后出院,出院次日因突然呼吸困难、口吐白沫十小时再次以新生儿肺炎收住,住院后一小时曾惊厥一次。查体:肛温37.3℃,气促,三凹征明显,张口呼吸,口及鼻孔涌出大量泡沫状分泌物,面部青紫,皮肤弹性差,无明显大汗,前囟平,颈软,心音低钝,心率50次/分,两肺布满湿罗音,无肌肉纤维颤动,实验室检查:血红蛋白16g％,自细胞26000,中性59％,淋巴36％,单核5％,按新生儿肺炎、肺水肿处理,经抗感染、吸氧、强心、纠酸,并使用血管扩张剂654—2和酚妥拉明,病情稍改善,但肺部湿罗音不减少,住院翌日发现瞳孔缩小如针尖样,光反
Children, male, hospital number 56844, 6 days after birth hospitalized with neonatal pneumonia, the condition improved after discharge, discharge the next day due to sudden breathing difficulties, mouth foaming ten hours again with neonatal pneumonia admitted to hospital after a Hour had convulsions once. Physical examination: rectal temperature 37.3 ℃, shortness of breath, obvious signs of three concave, mouth breathing, mouth and nostrils pour a lot of foam secretions, facial bruising, poor skin elasticity, no significant sweating, anterior fontanel, neck soft, heart sound Low blunt, heart rate 50 beats / min, both lungs covered with wet rales, no muscle fibrillation, laboratory tests: 16g% of hemoglobin, 26,000 from cells, neutral 59%, lymphoid 36%, mononuclear 5% Children pneumonia, pulmonary edema treatment, the anti-infection, oxygen, cardiac, correction of acid, and the use of vasodilators 654-2 and phentolamine, the condition improved slightly, but the lungs did not reduce the wet rales, hospital found the following day Pupil narrow like needle tip, light anti