患儿,男,1天,第一胎第一产,孕41周。因胎儿窘迫及胎儿体型较大而剖腹产,羊水Ⅲ°,量较少,出生体重4.31kg,Apgar评分出生1分钟5分,5分钟为6分,10分钟为7分,经吸粘液吸氧好转入婴儿室。入室后发现小儿气促,点头状呼吸,有双吸气,较烦躁,唇周发绀,拒奶。于生后1天按新生儿窒息,吸入性肺炎由产科转入。母有气喘病,孕3月时轻度发作过一次,但未用过任何药物。体检:面色红,哭声响,单声,体温37℃,呼吸60,心率120,头围35cm。前囟平2×2cm,颅顶部血肿4×4cm,两肺(一),腹软,肝肋下2cm,脾未及,拥抱反射存在,肌张力正常。入院后给予吸 Children, male, 1 day, the first birth of the first child, 41 weeks pregnant. Due to fetal distress and fetal size larger caesarean section, amniotic fluid III, less, birth weight 4.31kg, Apgar score 1 minute 5 minutes, 5 minutes to 6 minutes, 10 minutes to 7 minutes, sucked mucus good oxygen Into the baby room. After entering the room found that children with shortness of breath, nostril breathing, a double inhale, more irritability, cyanosis lip weeks, refused to milk. One day after birth by neonatal asphyxia, aspiration pneumonia transferred from the obstetrics. The mother had asthma, had a mild episode of malaria in March but had not used any medication. Physical examination: looking red, crying sound, mono, body temperature 37 ℃, breathing 60, heart rate 120, head circumference 35cm. Anterior fontanelle 2 × 2cm, cranial hematoma 4 × 4cm, two lungs (a), abdominal soft, liver ribs 2cm, spleen and embody reflex exists, muscle tone normal. Admitted to hospital after admission