患儿,男,出生6小时,第1胎第1产,足月顺产。出生体重3.2kg,胎盘大小正常。出生时面色青紫,经吸氧等处理,青紫加重由县医院转来。父母体建,非近亲婚配家族中无遗传性疾病史。体检:体温不升,呼吸44次,反应差,易激惹。面色青紫,前囟2×2cm,头颅顶枕部血肿5×6cm。眼睑轻度浮肿。两肺呼吸音粗,心率114次,律齐。腹转,肝肋下1cm,脾肋下未及。两下肢大腿外侧轻度硬肿,吸吮反射未引出。血红蛋白190g/L,WBC17.5×10~9/L,P 80％,L 20％。胸片两肺无明显病变。入院诊断“新生儿窒 Children, male, 6 hours of birth, the first child of the first production, full-term delivery. Birth weight 3.2kg, normal placental size. Blushing at birth, by oxygen and other treatment, bruising increased transfer from the county hospital. Parents built, non-relatives of marriage with family history of no genetic disease. Physical examination: body temperature does not rise, breathing 44 times, the reaction is poor, irritability. Looking bruising, bregma 2 × 2cm, skull top occipital hematoma 5 × 6cm. Eyelid mild edema. Breath sounds coarse lungs, heart rate 114 times, law Qi. Abdominal turn, liver ribs 1cm, spleen and ribs yet. Lower extremity thigh slightly mild sclerosis, sucking reflex did not lead. Hemoglobin 190g / L, WBC 17.5 × 10-9 / L, P 80%, L 20%. No significant change in the chest two lungs. Admission diagnosis "neonatal suffocation