林××,男性,16天。1986年5月15日因气促,阵发性青紫16天住院。患儿系第一胎,足月产。生后能啼哭,但呼吸困难,尤其是在哭闹、用力后出现口唇青紫。在当地医院拟诊“吸入性肺炎”给予吸氧、抗菌等处理无明显效果而转来我院。入院查体:体温38.3℃,呼吸68次/分,脉搏200次/分。精神疲乏,新生儿外貌,体重正常。面色口唇青灰。头颅及五官发育正常,双侧瞳孔等大,胸式呼吸,急促,吸气不见腹部鼓起。右肺可闻及细小湿性罗音。心率规则,未闻及病理性杂音。腹软,肝脾无肿大。脐带已脱,无分泌物。右手腕关节向外上扭曲畸形,不能活动,右上臂活动如常。白细胞12 200/立方毫米,中性粒 Lin × ×, male, 16 days. May 15, 1986 due to shortness of breath, paroxysmal bruising 16 days hospitalization. Children with the first child, full-term. Can cry after birth, but breathing difficulties, especially in crying, hard lips purple. In the local hospital to be diagnosed as “aspiration pneumonia” to give oxygen, antibacterial treatment without obvious effect and transferred to our hospital. Admission examination: body temperature 38.3 ℃, breathing 68 beats / min, pulse 200 beats / min. Mental fatigue, newborn appearance, weight normal. Facial lip color gray. Head and facial features normal, bilateral pupils and other large chest breathing, shortness of breath, no abdominal bulge. Right lung can be heard and small wet rales. Heart rate rules, no smell and pathological murmur. Abdominal soft, no swelling of the liver and spleen. Umbilical cord has taken off, no secretions. The right wrist twisted outward distortions, can not activity, right upper arm activities as usual. WBC 12 200 / mm3, Neutrophil