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例1男,出生40 min。因窒息复苏后40 min,以“新生儿窒息、胸腔积液”入住新生儿监护病房。母孕34+3周B超提示胎儿双侧胸腔大量积液,孕36+2周因宫内窘迫剖宫产娩出。Apgar评分1 min 2分,立即给予清理呼吸道,气管插管呼吸机辅助呼吸。查体:心率152次/min,体重3 250 g,皮肤口唇苍白,全身重度水肿,气管居中。胸廓明显饱满,双肺叩诊清音界明显缩小,呼吸音明显减低;心脏四诊(-)。实验室
Example 1 male, born 40 min. 40 minutes after resuscitation due to suffocation, with “neonatal asphyxia, pleural effusion,” admitted to the neonatal intensive care unit. Maternal 34 +3 weeks B-ultrasound prompted a large number of bilateral pleural effusion, 36 +2 weeks pregnant due to intrauterine distress cesarean delivery. Apgar score 1 min 2 min, immediately give the respiratory tract, endotracheal tube ventilator-assisted breathing. Physical examination: heart rate 152 beats / min, weight 3 250 g, skin pale lips, systemic edema, tracheal center. Significantly full chest, lungs percussion clear voice industry was significantly reduced, significantly reduced breath sounds; four cardiac diagnosis (-). laboratory