患儿男,因“生后呻吟、气促2 h”由当地医院转入。系第1胎第1产,胎龄30周,因“胎膜早破27 h”剖宫产娩出,出生体重1 450 g,羊水、胎盘、脐带无异常,Apgar评分1 min 6分,5 min 8分。入院诊断:呼吸窘迫综合征、休克,予肺表面活性物质替代、呼吸机辅助通气、扩容、纠酸、血管活性药物等治疗,生后48 h休克纠正,生后72 h拔管撤机。患儿生后12 h外周血CRP 4.22 mg/L,I/T 0.24,予氨苄 Children male, because “groan after birth, shortness of breath 2 h ” transferred from the local hospital. Department of the first child of the first production, gestational age 30 weeks, because of “premature rupture of membranes 27 h ” cesarean delivery, birth weight 1450 g, amniotic fluid, placenta, umbilical cord without exception, Apgar score 1 min 6 points, 5 min 8 min. Admission diagnosis: respiratory distress syndrome, shock, replacement of pulmonary surfactant, ventilator-assisted ventilation, expansion, correction of acid, vasoactive drugs and other treatment, 48 h after shock shock correction, 72 h after birth extubation. 12 h after birth, peripheral blood CRP 4.22 mg / L, I / T 0.24, to ampicillin