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患儿男,生后33 h,因呼吸困难33 h入院。患儿系第3胎第1产(前两次妊娠均自然流产),胎龄 38周,母孕期曾保胎治疗,有“感冒”史,胎儿有宫内窘迫史(阵发性胎心增快),臀位剖宫产娩出。胎盘较小,脐带较细并扭转。Apgar评分1分钟7分,5 分钟9分。生后即出现呼吸困难,给予鼻导管吸氧、酚妥拉明调节肺部微循环等治疗,生后28 h病情仍无好转,呼吸困难加重,出现心力衰竭,血气分析 PCO2 55 mmHg、PO2 30 mmHg、pH值7．32,考虑呼吸衰竭而转入我科,给予气管插管,呼吸机辅助呼吸。
Male children, 33 h after birth, admitted to hospital due to dyspnea 33 h. Pediatric fetus has a history of “intrauterine distress” (paroxysmal fetal heart rate increase Fast), breech cesarean delivery. Small placenta, umbilical cord thinner and twisted. Apgar scores 1 minute 7 minutes, 5 minutes 9 minutes. Respiratory dysfunction occurred after birth, giving nasal oxygen catheter, phentolamine regulation of pulmonary microcirculation and other treatment, 28 h after birth, the condition still did not improve, increased dyspnea, heart failure, blood gas analysis PCO2 55 mmHg, PO2 30 mmHg, pH 7.32, consider respiratory failure and transferred to our department, give endotracheal intubation, ventilator-assisted breathing.