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患儿女,5天.因食后呕吐5天入院.患儿系第一胎第一产,足月顺产,出生体重3.3kg,无窒息抢救史.生后12小时开始喂奶,但喂后奶液即从口鼻涌出,伴呼吸困难、鼻翼搧动,面色青紫.此后多次喂奶均有类似现象发生.曾就诊当地医院,拟诊新生儿肺炎.经抗炎治疗无效而转来我院.患儿父母均健,非近亲婚配.母孕期体健,无羊水过多、服药、X线照射史.体检:体温不升心率130次/分,呼吸50次/分,反应差,哭声低微.皮肤、巩膜中度黄染,前囟平,两瞳孔等大、圆.口周紫绀,唇间可见少许细小白沫.颈软,胸廓无畸形.两肺多量痰鸣
Children with 5 days, due to post-nauseal vomiting admitted to hospital for 5 days.The first birth of children with first birth, term full-term, birth weight 3.3kg, without asphyxiation rescue history .12 hours after birth, feeding, but after feeding milk Liquid from the mouth and nose gush, with respiratory difficulties, nose flap, looking bruise. Since then there are many nursing similar phenomenon occurred. Visited the local hospital, the proposed diagnosis of neonatal pneumonia. Anti-inflammatory treatment is invalid and transferred to our hospital .Parents of both children are healthy, non-relatives of marriage.Pregnant body health, no polyhydramnios, medication, X-ray history.Physical examination: body temperature does not rise heart rate 130 beats / min, breathing 50 beats / min, poor response, crying Low micro.The skin, the sclera moderate yellow dye, the anterior fontanelle, two pupils and other large, round .Period week cyanosis, a small amount of foam can be seen between the lips .Line soft, thoracic no malformations.