1临床资料患儿,男,3 d。发现双上肢无力3 d,气促1 d入院。G1P1,孕39+5周,外院行无痛分娩顺产娩出,出生体质量3.5 kg,否认产时窒息,Apgar评分不详,否认胎盘等异常。混合喂养,生后第1天患儿出现哭闹,第2天早晨发现患儿双上肢无力,未处理,下午发现患儿出现气促,下颌抖动明显,并哭闹加重,拟“新生儿肺炎,颅内出血?”收住院。吃奶可,无发热、昏迷,无皮肤黏膜瘀点瘀 1 clinical data in children, male, 3 d. Found that upper extremity weakness 3 d, shortness of breath 1 d admission. G1P1, 39 +5 weeks pregnant, outside the hospital line of painless childbirth delivery, birth weight 3.5 kg, obstructing birth asphyxia, Apgar score unknown, deny placental abnormalities. Mixed feeding, 1 day after birth, children with crying, the first two days found in children with upper extremity weakness, untreated, afternoon found that children with shortness of breath, jaw jitter significantly, and increased crying, to be "newborn Pneumonia, intracranial hemorrhage? Nursing can be, no fever, coma, no skin mucosal stasis stasis