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病例摘要患儿,男,8天,因发憋伴有间断发热7天,14小时加重入院。第二胎第二产。孕41周,胎吸助产,脐绕颈一周,生后重度窒息3分钟,有羊水吸入史。经口对口人工呼吸,肌注洛贝林、可拉明各1/3支等抢救后恢复呼吸。父母及姐均健康。患儿生后第二天出现发憋,口吐白沫并伴有间断发热,体温最高37.8℃,精神弱、吃奶好,二便正常。病后在当地医院给予青霉素和氨苄青霉素治疗不见好转,入院前14小时病情突然加重,呼吸困难、呻吟、面色青紫急诊入院。入院后查体:体重3200g、体温36.5℃、心率160次,
Case Summary Children, male, 8 days, due to hair and hold with intermittent fever for 7 days, 14-hour increase in admission. Second child second production. 41 weeks of pregnancy, fetal suction midwifery around the neck a week after birth, severe suffocation for 3 minutes, history of amniotic fluid intake. Oral oral artificial respiration, intramuscular injection of Lobeline, Clarin 1/3 and other rescue resuscitation. Parents and sisters are healthy. The second day after birth, children appear to send choke, foaming at the mouth and accompanied by intermittent fever, the highest temperature of 37.8 ℃, weak spirit, good feeding, and two will be normal. After the illness in the local hospital for penicillin and ampicillin treatment did not improve, 14 hours before admission, the condition suddenly aggravated, dyspnea, moan, looking bruise emergency admission. After admission, physical examination: body weight 3200g, body temperature 36.5 ℃, heart rate 160 times,