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乔某,男,18小时。因哭啼致青紫加重10小时于1990年5月入院。患儿系第一胎,42~(+2)周,过期,剖宫产儿。娩出时青紫窒息,羊水Ⅱ～Ⅲ度污染,脐带绕颈2周,胎盘钙化,出生体重3050g。经吸痰、吸氧后青紫消失,但哭声小。生后8小时哺乳1次,量少。哭啼后口唇、指趾端青紫,安静后好转。体检:T38.1℃,P168次/分,R120次/分,发育营养佳,成熟儿貌。呼吸急促,呻吟,面色青灰,指趾发绀,前囱平,2.5cm×2.5cm,矢状缝分离约0.2cm,鼻掮,口唇发绀。颈软,双肺呼吸音不清,未闻及干湿罗音,心率快,律齐,各瓣膜区未闻及杂音,腹软,脐部干净。肝脾未扪及。入
Joe Mou, male, 18 hours. Caused by crying caused bruising purple 10 hours admitted in May 1990. Children with the first child, 42 ~ (+2) weeks, expired, cesarean section. Infant blue purple asphyxiation, amniotic fluid Ⅱ ~ Ⅲ degree of pollution, cord around the neck for 2 weeks, placental calcification, birth weight 3050g. After suctioning, purple disappeared after oxygen, but the crying small. 8 hours after birth breast-feeding 1, less. After crying lips, refers to bruising, quiet and then improved. Physical examination: T38.1 ℃, P168 times / min, R120 times / min, development of good nutrition, mature appearance. Shortness of breath, groaning, looking blue and gray, toenail cyanosis, chimney flat, 2.5cm × 2.5cm, sagittal suture separation of about 0.2cm, epistaxis, lips cyanosis. Neck soft, lungs breath sounds unclear, no smell and wet and dry rales, fast heart rate, law Qi, the valve area did not smell and noise, belly soft, umbilical clean. Liver and spleen not palpable. Into