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患者,女,出生4天.患儿系G_1P_1孕37周新法足月顺产,出生体重2600g,出生时哭声大,皮肤红润.生后第3天突然出现呼吸急促、唇周发绀、口吐白沫、呻吟声、反应差、进奶少,遂由产科转入我科,初诊为新生儿肺炎.体检:神清,足月新生儿外貌,R60次/分,HR160次/分,呼吸较急促,轻度鼻煽,唇绀,三凹征(+).气管轻度左移.左胸稍平坦,左肺语颤减弱,左肺叩诊变浊,呼吸音明显减低.心界叩不出,心尖搏动位于左乳腺外约2.0cm,无弥散,于胸3～4肋间闻及Ⅳ/Ⅵsm.辅助检查;X胸片示左侧胸
Patients, female, born 4 days .Gastric G_1P_1 37 weeks pregnant new method of full-term birth, weight 2600g, cries at birth, ruddy skin .3 days after birth suddenly appear shortness of breath, cyanosis of the lip, spit white Mo, moan, poor response, into the milk less, then transferred to our department by the obstetric, newly diagnosed as neonatal pneumonia. Examination: Shen Qing, full-term neonatal appearance, R60 beats / min, HR160 beats / , Mild nasal fan, cyanosis, three concave sign (+) .Trachea mild left shift.Lower chest slightly flat, weakened left lung fibrillation, left lung percussion turbid, breath sounds significantly reduced.Will not knock out the heart, Apical beats outside the left breast about 2.0cm, no dispersion, in the chest 3 ~ 4 intercostal smell and Ⅳ / Ⅵsm. Assisted examination; X chest showed left chest