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患儿,男,生后1小时。因母骨盆狭窄行剖宫产,羊水污染1度。出生体重4000g。生后重度窒息,Apgar评分,1分钟1分、5分钟2分、15分钟6分、20分钟9分。气管插管吸引后加压给氧,14分钟出现自主呼吸,20分钟拔管时呼吸尚规则,呻吟,渐出现紫绀转儿科。查体:体温不升,心率150～160次,呼吸70次,发育良好,烦躁不安,呻吟,呼吸促,节律整,鼻扇,吸气性凹陷,全身紫绀,四肢末梢凉,口吐白沫,前囟平,双眼向上凝视,瞳孔等大等圆,对光反射良好。心音低钝,律齐,未闻杂音,右
Children, male, 1 hour after birth. Cesarean section due to a narrow cesarean section, amniotic fluid contamination of 1 degree. Birth weight 4000g. Severe asphyxia after birth, Apgar score, 1 minute 1 minute, 5 minutes and 2 minutes, 15 minutes and 6 minutes, 20 minutes and 9 minutes. Tracheal intubation after the pressure to oxygen, 14 minutes spontaneous breathing, breathing extubation 20 minutes rule, moaning, gradually turn purple pediatric. Physical examination: body temperature does not rise, the heart rate 150 ~ 160 times, breathing 70 times, well-developed, irritability, moaning, breathing, rhythm, nasal fan, inspiratory depression, systemic cyanosis, extremities cool, spit foaming , Anterior fontanelle, his eyes staring upward, pupils and other large round, good reflection of light. Low heart sound blunt, law Qi, unheard noise, right