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患儿,男,40孕周,于1982年4月自然分娩,出生后有呼吸,心跳,但无哭声。AP—gar评分1分钟5分,10分钟再评为3分,经气管插管正压给氧等抢救,病情未见好转。生后一小时五十五分钟转儿科继续治疗,予人工呼吸机1PPV等措施,病情急剧恶化,生后三小时死亡。体验:体温不升,颜面青紫,唇甲尤为明显,呼吸节律不整8～28次。瞳孔散大,对光反射迟钝。两肺呼吸音弱。心尖搏动在右胸骨旁第5肋间,且渐移至剑突下,心音低钝、无力,律齐,心率40～120次。肝肋下3cm,剑突下5cm。脾未
Children, male, 40 gestational weeks, natural childbirth in April 1982, after birth, breathing, heartbeat, but no crying. AP-gar score 1 minute 5 minutes, 10 minutes and then rated as 3 points, the endotracheal tube oxygen pressure and other rescue, the condition did not improve. Fifty-five minutes after birth, he went to Pediatrics Department to continue treatment, to artificial ventilator 1PPV and other measures, the condition deteriorated rapidly, three hours after birth, died. Experience: body temperature does not rise, facial bruising, lip aura is particularly obvious, irregular breathing rhythm 8 to 28 times. Mydriasis, slow reflection of light. Breath sounds weak both lungs. Apex beat in the right intervertebral 5th intercostal space, and gradually shifted to the xiphoid, low heart sound blunt, weakness, law Qi, heart rate 40 to 120 times. Liver ribs 3cm, xiphoid 5cm. Spleen is not