论文部分内容阅读
患儿,男,2天,因呻吟2天,全身硬肿1天,于1985年2月6日入院。第1胎第1产,孕38周,羊膜早破46小时,羊水呈草绿色。出生体重3,5000g。Apgar评分1分钟3分,公社医院抢救10分钟后才哭。体检:体温35.3℃,呼吸32次,脉搏120次。轻度三凹征,面色苍白,硬肿面积达94％,程度Ⅱ—Ⅲ°肺部未发现异常。肝在肋下1.5Cm。血红蛋白14g,白细胞26,000,中性粒细胞77％,淋巴细胞23％。X线胸片提示新生儿肺炎。入院诊断:新生儿败血症,新生儿肺炎,新生儿硬肿症(重度)。给予暖箱复温,头罩吸氧,新青霉素Ⅱ,氨苄青霉素,东莨菪碱,丹参注射液,5％碳酸氢钠,10％葡萄糖酸钙,氟美松,新鲜肝素抗凝血,维生素K_1及能量合剂治疗。入院第2天出现呼吸浅促不规则,全身硬肿明显加重。血压60mm
Children, male, 2 days, 2 days for moaning, systemic sclerosis 1 day, February 6, 1985 admission. The first birth of the first child, 38 weeks of pregnancy, amniotic membrane premature rupture 46 hours, amniotic fluid was grass green. Birth weight 3,5000g. Apgar scored 1 minute 3 minutes, commune hospital after crying for 10 minutes. Physical examination: body temperature 35.3 ℃, breathing 32 times, pulse 120 times. Mild three concave sign, pale, sclerosis area of 94%, degree Ⅱ-Ⅲ ° lungs were not found abnormalities. Liver in the ribs 1.5Cm. Hemoglobin 14g, white blood cells 26,000, 77% of neutrophils, lymphocytes 23%. X-ray chest prompted neonatal pneumonia. Admission diagnosis: neonatal sepsis, neonatal pneumonia, neonatal scleredema (severe). Give warm box rewarming, hood oxygen, new penicillin Ⅱ, ampicillin, scopolamine, Salvia injection, 5% sodium bicarbonate, 10% calcium gluconate, flumethasone, fresh heparin anticoagulant, vitamin K_1 and energy Combination therapy. On the second day of admission, there was irregular shallow breathing and obviously increased systemic edema. Blood pressure 60mm