患儿男,生后2天,因“窒息复苏后气促、发绀2天伴腹胀半天”入院。患儿胎龄39+4周顺产分娩,出生体重3 250 g,胎膜早破1天,羊水Ⅲ°,脐绕颈1周。生后即全身发绀、不哭、四肢肌张力弱,当地医院即刻予气管插管、胎粪吸引、复苏囊加压给氧,1、5、10 min Apgar评分分别为4、7、9分。胸部X线片示两肺弥漫性大片状密度增高影,血气分析为重度代谢性酸中毒。考虑“新生儿窒息、胎粪吸入综合 Children male, 2 days after birth, due to ”suffocation recovery after shortness of breath, cyanosis 2 days with abdominal distension half day “ admission. Children with gestational age of 39 +4 weeks of birth, birth weight 3 250 g, 1 day premature rupture of membranes, amniotic fluid Ⅲ °, umbilical around the neck for 1 week. Immediately after birth that cyanosis, do not cry, limb muscle tension is weak, the local hospital immediately tracheal intubation, meconium aspiration, resuscitation capsule pressurized oxygen, 1,5,10 min Apgar scores were 4,7,9 points . Chest X-ray showed diffuse large flakes of lung density increased shadow, blood gas analysis was severe metabolic acidosis. Consider ”neonatal asphyxia, integrated meconium aspiration