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男,52d。以双下肢硬肿13d入院。系3胎3产,36周胎龄,无明显诱因早产,出生第3天因寒冷渐出现双下肢外侧及臀部硬肿,伴拒奶,哭声弱,大小便正常。母孕期正常、羊水Ⅱ°污染,胎盘明显大(但未测)。查体:T35.5℃,P120次/min,R45次/min,体重2.15kg。刺激后哭声弱,面色苍灰;双下肢外侧及臀部硬肿,表面呈暗红色,颅缝明显拓宽,约1.5cm,前囟前角延至眉间,耳位低,鼻及下颌小,肺腹部无异常,胸骨左缘3～4肋间可闻及Ⅳ级以上全收缩期粗糙杂音,双手屈曲畸形,双脚背屈,新生儿
Male, 52d. To double lower extremity sclerosis 13d admission. 3 fetuses 3 births, 36 weeks of gestational age, no obvious incentive to preterm birth, born on the 3rd day due to cold gradually appear both lower extremities and hip swelling, with refusal milk, crying weak, normal urine. Normal pregnancy, amniotic fluid Ⅱ ° pollution, significantly larger placenta (but not measured). Physical examination: T35.5 ℃, P120 times / min, R45 times / min, weight 2.15kg. After stimulation, crying weak, pale gray; lower extremity lateral and buttocks hard swollen, the surface was dark red, cranial suture was significantly wider, about 1.5cm, anterior horn cut to the eyebrow between the anterior horn, ear low, nasal and mandibular small, lung No abnormalities in the abdomen, 3 to 4 intercostal space on the left margin of the sternum and rough murmurs of total systolic grade IV or above, flexion deformity in both hands, dorsiflexion of both feet, newborn