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例1 男,4天,第1胎足月,因胎儿宫内窘迫剖腹产,Apgar评分10分,生后第3天出现气急伴吸气性喘鸣音,哭声稍哑,由外院转来。体检:体重3500g,体温37.4℃(肛),哭声响、气急,有吸气性三凹征及喘鸣音,心正常,肺部有干性罗音,腹软,肝肋下1cm,脾未触及。白细胞16,450,中性粒细胞占85％。胸片:肺纹理多,夹有小片絮状影,左上纵膈稍宽,气管向右偏0.3cm,颈部侧位片上自口咽后壁,下达第七颈椎体水平有2.8×6cm梭形软组织肿胀,边缘光整,气管明显向前移位,颈椎生理弧度失去常态,无骨性破坏,关节间隙正常。入院后呈进行性呼吸困难,经抗生素、激素等治疗,一度好转,喘鸣音消失,能吃奶。四天后症状再现,治疗失效,即行气管切开术。术后呼吸平
Case 1 male, 4 days, the first full-term fetus, due to fetal distress Caesarean section, Apgar score of 10 points, the first 3 days after birth with gas-fast wheezing with wheezing, crying a little dumb, transferred from the outer court. Physical examination: weight 3500g, body temperature 37.4 ℃ (anal), crying sound, shortness of breath, with suction three concave signs and wheezing, normal heart, lungs have a dry rales, abdominal soft, liver ribs 1cm, spleen touch. Leukocytes 16,450, neutrophils accounted for 85%. Chest X-ray: lungs and more, with small pieces of flocculus shadow, the left upper mediastinum slightly wider, trachea to the right 0.3cm, the lateral neck of the film from the oropharyngeal posterior wall, issued a seventh cervical vertebra level of 2.8 × 6cm spindle Soft tissue swelling, edge finishing, tracheal significantly forward shift, cervical physiological curvature loss of normal, no destruction of bone, joint space is normal. After admission was progressive dyspnea, the antibiotics, hormones and other treatment, was improved, wheezing disappeared, can eat milk. Four days after the symptoms recurrence, treatment failure, tracheotomy. Respiratory flat after surgery