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患儿,男,出生2小时。因面色苍白由产科转入我科。系第一胎,37周。由于宫内窘迫行刮宫产。初生体重2900g,生后苍白窒息气管插管,恢复自主呼吸,2小时面色仍极度苍白。母孕期体健,产前检查血小板92000,血红蛋白10g,产程中失血不多。胎盘完整。脐带未见异常。体检:体温不升,呼吸80次,心率140次,肱动脉搏动有力。发育正常,面色极度苍白,巩膜及皮肤无黄染。前囟1.5×1.5cm,平坦,无血肿,颈软,两肺呼吸音清,心音有力律整,无杂音。腹软,肝肋下2cm,脾肋下0.5cm。双睾已降。拥抱反射(+)。血A型,生后4小时外周血象血红蛋
Children, male, born 2 hours. Due to the pale into obstetrics by our department. Department of the first child, 37 weeks. Due to intrauterine distress line curettage. Birth weight 2900g, after birth, pale asphyxia tracheal intubation, resumption of spontaneous breathing, 2 hours looking pale is still extremely pale. Health during pregnancy, prenatal examination of platelets 92000, hemoglobin 10g, less bleeding during labor. Placenta complete. No abnormal umbilical cord. Physical examination: body temperature does not rise, breathing 80 times, heart rate 140 times, bradycardia potent. Normal development, pale complexion, sclera and skin without yellow dye. Anterior fontanel 1.5 × 1.5cm, flat, no hematoma, neck soft, breath sounds clear lungs, heart sound powerful law without noise. Abdominal soft, liver ribs 2cm, spleen rib 0.5cm. Double testis has dropped. Embrace the reflection (+). Blood type A, peripheral blood hemoglobin 4 hours after birth