患儿男 ,第 4胎第 1产 ,胎龄 38周 ,剖宫产出生。出生体重 1 95 0克 ,身长 43ｃｍ。生后阿氏评分 8分 ,哭声弱 ,皮肤紫绀 ,前囟1ｃｍ× 1ｃｍ ,张力不高 ;眼、耳、鼻外观无畸形 ,眼球无光泽 ,双肺未闻及呼吸音 ,心音低钝 ,心率 1 0 0次 /分 ,律齐 ;腹软 ,未及包块 ,肝脾不大 ;? Children male, the first 4 births, gestational age 38 weeks, cesarean section was born. Birth weight 1 95 0 grams, length 43cm. After birth, Alex’s score of 8 points, weak crying, cyanotic skin, anterior fontanel 1cm × 1cm, tension is not high; eyes, ears, nose appearance without deformity, eye dull, lungs did not smell and breath sounds, Heart rate 1 0 0 beats / min, law Qi; abdominal soft, not mass, not the liver and spleen;