患儿 ,系第 2胎 ,第 2产 ,孕 41周 ,出生时有重度窒息 ,1分钟Ａｐｇａｒ评分 3分 ,经抢救后呼吸好转 ,但哭声仍不好 ,于生后 1小时从产科转入我科。入院查体 :体温 36 7℃ ,呼吸 6 0次 /分 ,体重 41 0 0ｇ发育良好 ,营养好 ,神志清 ,反应差 ,哭无回声 ,呼吸急促 ,面色及口唇发 Children, Department of the second child, the second production, 41 weeks of gestation, severe asphyxia at birth, 1 minute Apgar score of 3, after resuscitation to improve, but the cry is still not good, 1 hour after birth from obstetric turn Into my department. Admission examination: body temperature 36 7 ℃, breathing 6 0 beats / min, weight 41 0 0g well-developed, good nutrition, clear consciousness, poor response, crying no echo, shortness of breath, complexion and lip