患者,男性,2天。系第一胎足月臀位牵引产出生,出生时有青紫窒息及脐绕颈一周,经清理呼吸道及脐带迫血法等措施,自然啼哭,体检无异见。生后28小时突尖叫,颜面抽搐,口眼向左歪斜,发绀,前囱略隆起,无哭声。拟为新生儿颅内出血,给以冬眠、止血、脱水等治疗,抽搐稍减,但病情渐恶化。又经20小时后双瞳不等大,光反应消失,意识丧失。外科再查见全身皮肤明显黄染,无出血点,心 Patient, male, 2 days. Department of first-term full-term breech traction birth was born at birth asphyxia and umbilical cord around the neck a week, by clearing the respiratory tract and umbilical cord blood pressure and other measures, natural cry, physical examination no different. 28 hours after birth suddenly screaming, face convulsions, mouth left skew, cyanosis, slightly elevated before the creek, no crying. To be newborn intracranial hemorrhage, give hibernation, hemostasis, dehydration and other treatment, convulsions slightly reduced, but the condition deteriorated. After 20 hours double pupil ranging from large, light reaction disappeared, loss of consciousness. Surgical examination showed that the whole body was yellow skin, no bleeding point, heart