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新生儿肾上腺出血伴相继而来的钙化常归咎于外伤或位置的挤压。本文报告1例双侧肾上腺出血性坏死的婴儿,出生后照片即见钙化,认为是在子宫内严重挤压所致。患儿母26岁,孕5、产2、流产2。32周时在分娩前20小时疑胎膜破裂而行剖腹产术。为双胎,A重1,740g,青紫但无窘迫征,体检正常,第五天发生坏死性大小肠炎并伴播散性血管内凝血死亡。尸检肾上腺正常。B重840g,1分钟Apgar评分为1,苍白休克状及贫血,予以复苏有好转,5分钟
Neonatal adrenal hemorrhage with subsequent calcification is often attributed to trauma or location of the squeeze. This article reports 1 case of bilateral adrenal hemorrhagic necrosis of the baby, that is, photos of calcification after birth, that is caused by severe in the uterus squeeze. Children 26 years old, pregnant 5, 2, abortion 2.32 weeks in 20 hours before delivery, suspected fetal membrane rupture and cesarean section. A twins, A weight 1,740g, purple but no embarrassment levy, physical examination was normal, the fifth day of necrotizing enterocolitis and disseminated intravascular coagulation death. Autopsy adrenal normal. B weighing 840g, 1 minute Apgar score of 1, pale shock and anemia, to be better recovery, 5 minutes