患儿,男,出生4小时,因呼吸困难4小时,于1985年10月9日入院。患儿系第1胎,第一产,足月,头位,胎吸及产钳助产。脐带绕颈一用,Apgar评分1分钟5分,5分钟7分。经抢救仍有呼吸困难和发绀,但无吐沫、尖叫及抽搐,由外院转来。其母有妊娠中毒症,妊娠早期无上感及服药史,未接受过X线照射。体检:体重2580g,呼吸68次,心率120次。面色灰白,口周发绀,鼻翼扇动及三凹征阳性。右前额可触及一颅骨凹陷区,2×2cm~2,前囟无膨隆,无头颅血肿和胸锁乳突肌血肿。呈胸腹式呼吸,双 Children, male, born 4 hours, 4 hours due to dyspnea, admitted on October 9, 1985. Children in the first child, the first birth, term, head position, fetal suction and forceps midwifery. Umbilical cord around the neck, Apgar score 1 minute 5 minutes, 5 minutes and 7 minutes. After the rescue is still breathing difficulties and cyanosis, but no spittle, screaming and convulsions transferred from the outside hospital. The mother has gestational toxicosis, no sense of pregnancy during the first trimester and medication history, did not receive X-ray irradiation. Physical examination: weight 2580g, breath 68 times, heart rate 120 times. Pale gray, perioral cyanosis, nasal flap and positive three concave sign. Right forehead can reach a skull depression area, 2 × 2cm ~ 2, no bregma anterior fontanelle, no cranial hematoma and sternocleidomastoid hematoma. Was chest-abdominal breathing, double