双胎患儿,均男性.38~+周,出生体重2900g和2000g,Apgar评分1min为1分。患儿母亲产前子痫临产时抽搐3次伴神志不清3h入院,于1996年6月6日晨8:10行剖宫术。术前用过盐酸氯丙嚷针2Smg、盐酸异丙嗪针25mg、杜冷丁针75mg及硫酸镁,甘露醇、速尿等,以硬膜外麻醉(利多卡因+异丙嗪针75mg)。患儿出生体检:心率36～40次/min,心音低钝,未闻呼吸。立即予清理呼吸道,触发呼吸,胸外心脏按压,气管插管,正压给氧通气,脐静脉注射肾上腺素针、碳酸氢钠、地塞米松针等抢救,仍未闻呼吸,约10min时静脉注射盐酸钠洛酮0.1mg,15min时出现不规则自主呼吸,2min后停止,再次用钠洛酮0.1ng,随即出现呼吸。Apgar评分30min为6分、40min8分,遂拔管 Twin children, both men .38 ~ + weeks, birth weight 2900g and 2000g, Apgar score of 1min to 1 minute. Childhood mothers prenatal eclampsia during labor convulsions 3 times with delirious 3h admission, on June 6, 1996 morning 8:10 cesarean section. Preoperative hydrochloride clopidogrel hydrochloride needle 2Smg, promethazine hydrochloride needle 25mg, pethidine needle 75mg and magnesium sulfate, mannitol, furosemide, epidural anesthesia (lidocaine + promethazine needle 75mg). Children born in the physical examination: heart rate 36 ~ 40 times / min, low heart sound blunt, no breathing. Immediately to clean the respiratory tract, triggering breathing, chest cardiac pressure, endotracheal intubation, positive pressure oxygen ventilation, intravenous injection of adrenaline needle, sodium bicarbonate, dexamethasone needle and other rescue, still breathing, about 10min vein Inject 0.1mg sodium hydrocorla hydrochloride, 15min irregular spontaneous breathing, stop after 2min, again with 0.1ng sodium oxythrolone, then there is breathing. Apgar score 30min 6 minutes, 40min8 minutes, then extubation