1 病例介绍 患儿,男,妊高症产妇双胎第二儿。臀位牵引助产出生,Apgar评分:8分。体重:1650g,体长45cm。全身器官无异常,小儿生后立即放入保温箱中。于生后第三日因保温箱内温度失控,使患儿体温超高效达40～41℃。患儿面色苍白、口唇紫绀、口鼻内喷出较多鲜血。呼吸极度困难,伴鼻翼扇动和三凹征,呈喘息样呼吸80～82次/min,出现窒息现象,反应迟钝,无哭声,吸吮能力消失,时而出现小抽搐。查体:听诊心律200 1 case description Children, male, pregnancy-induced hypertension maternal twins second child. Breech traction midwifery, Apgar score: 8 points. Weight: 1650g, body length 45cm. No abnormalities in the body and organs, children immediately after birth into the incubator. On the third day after birth, the temperature in the incubator is out of control, so that the temperature of the child is super-efficient up to 40 to 41 ° C. Children pale, cyanotic lips, mouth and nose spray more blood. Breathing extremely difficult, with nose flap and the three concave sign, was breath-like breathing 80 to 82 beats / min, the phenomenon of suffocation, unresponsive, no crying, the ability to suck disappear, sometimes a small twitch. Physical examination: auscultation heart rhythm 200