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1 病例介绍 患儿 女,生后2小时。主因生后青紫,呼吸困难伴吐沫于1999年9月4日入院。第一胎第一产,孕四十二周自然分娩。出生体重2960g。脐绕颈两周,羊水胎盘未见异常。生后青紫窒息,Apgar评分1分钟3分,5分钟3分。经清理呼吸道、吸氧、人工呼吸、予尼克刹米等药物,10分钟建立自主呼吸。但皮肤仍青紫,且伴有吐沫及呼吸困难,无抽搐及脑性尖叫。查体:神志清醒,精神反应差,全身皮肤青紫,呼吸节律不整,鼻扇、三凹征阳性。口鼻腔内可见大量泡
1 cases of children with children, 2 hours after birth. The main cause of bruising, dyspnea with spittle in September 4, 1999 admission. The first birth of the first child, forty-two weeks of pregnancy, natural childbirth. Birth weight 2960g. Umbilical cord neck around two weeks, no abnormalities in amniotic fluid placenta. Asphyxiation after birth, Apgar score 1 minute 3 minutes, 5 minutes 3 minutes. After cleaning the respiratory tract, oxygen, artificial respiration, and other drugs to Nikkashmi, 10 minutes to establish spontaneous breathing. However, the skin is still bruising, accompanied by spittle and breathing difficulties, no convulsions and brain screaming. Physical examination: conscious, poor mental response, systemic skin bruising, irregular respiratory rhythm, nasal fan, three concave sign positive. Large number of bubbles visible in the mouth and nose