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患儿,男,生后10小时,第二胎急产,在家生产,当时苍白窒息30分钟,经抢救出现呼吸,9小时呼吸又停止,再抢救恢复,速来我院。查体:3100g,头围35cm,R40次/分,P 130次/分,呼吸不整,四肢温,反应差,皮肤无黄染及出血点,瞳孔对光反射存在,四肢肌张力低下,新生儿反射未引出,心音较低钝,肺听诊无异常,肝肋下2cm,脾未及。化验:CSF蛋白0.7g/L,余正常。头颅CT示蛛网膜下腔出血,CK 416U/L,LDH 528U/L,AST69U/L。诊为新生儿颅内出血,缺氧缺血性脑病。入院3天出现腹胀,腹泻,呈黑绿色水样便,有粘液,化验脓细胞10～15/PH,胃管抽取胃液为咖啡色,潜血强阳性,
Children, male, 10 hours after birth, the second child an emergency birth, at home production, then pale asphyxia for 30 minutes, the resuscitation respiration, breathing resumed 9 hours, and then rescue and recovery, speed to our hospital. Physical examination: 3100g, head circumference 35cm, R40 beats / min, P 130 beats / min, respiratory insufficiency, limbs warm, poor response, no yellow skin and bleeding points, pupil light reflexes, limb muscle tension is low, Reflex did not lead to lower heart sound blunt, auscultation of the lungs no abnormal liver ribs 2cm, spleen and time. Assay: CSF protein 0.7g / L, more than normal. Head CT showed subarachnoid hemorrhage, CK 416U / L, LDH 528U / L, AST69U / L. Diagnosis of neonatal intracranial hemorrhage, hypoxic ischemic encephalopathy. 3 days admitted to the hospital appeared abdominal distension, diarrhea, was black and green watery stool, mucus, test pus cells 10 ~ 15 / PH, gastric juice was taken as brown, occult strong positive,