论文部分内容阅读
患儿,男,37小时,第1胎,第1产,31周早产,臀位产钳助产分娩,生后无呼吸,1分钟Apgar评分2分,经吸痰、吸氧、呼吸兴奋剂等抢救,约5分钟出现自主呼吸,评分5分,但仍无哭声,面色青紫,呼吸弱,由产房转入儿科。其母早期无感染史和用药史。体检:体温不升,脉搏130次,呼吸35次。头发呈细绒状,胎脂满布,面色欠红润,口周微绀,三凹征明显,呻吟不止,前囟1.5×1.5cm,平软,无骨缝分离,瞳孔等大等圆,对光反射弱。颈软无抵抗,两肺呼吸音低,心律齐,心音正常。腹软,肝肋下1cm,剑突下1.5cm,质软,脾未及,脐干。四肢肌张力减弱,各生理反射
Children, male, 37 hours, 1st, 1st, 31 weeks preterm, breech forceps midwifery childbirth, no breathing after birth, 1 minute Apgar score of 2, by suction, oxygen, respiratory stimulants, etc. Rescue, about 5 minutes spontaneous breathing, scoring 5 points, but still no crying, looking bruising, breathing weak, transferred from the maternity ward. The mother of the early history of infection and medication history. Physical examination: body temperature does not rise, pulse 130 times, breathing 35 times. The hair is velvety, full of fetal fat, looking pale, cyanotic perioral, obvious signs of three concave, groaning, anterior fontanel 1.5 × 1.5cm, flat soft, no seam separation, pupil and other large circle, right Light reflection weak. Neck soft non-resistance, low lung breath sounds, Qi heart Qi, heart sounds normal. Abdominal soft, liver ribs 1cm, xiphoid 1.5cm, soft, spleen is not, umbilical dry. Limb muscle tension decreased, the physiological reflex