Congenital lung cyst with hyaline membrane disease in 1 case.doc

 PAGE \* MERGEFORMAT 5 Congenital lung cyst with hyaline membrane disease in 1 case [Keywords:] newborn; congenital lung cyst; hyaline membrane disease A medical record Children, male, after birth, 9h, the main reason “groan, shortness of breath 9h” admission. First-born children with the first production line, 31 +6 weeks gestational age, vaginal delivery at a local hospital birth, birth, amniotic fluid, umbilical cord, fetal membranes and placenta showed no abnormality, Apgar score 8-9-10 (1min muscle tone and skin color, subtract 1 point each, 5min muscle tension, subtract 1 point), after students there groaning, shortness of breath, to oxygen and other treatment symptoms do not improve, then transferred to our hospital, the emergency order “(1) preterm children; (2) low birth weight children; (3) hyaline membrane disease?” income families. into the examination subjects: T37 , HR 141 times / min, RR 65 times / min, BP 63/23mmHg, weight 2.1kg, premature children Maung, God a little tired, the reaction is poor, thin skin, red, no bleeding and bruising, the first skull is soft, parietal can and a size of about 4cm 4cm production tumor, oxygen hood fan under the nose and lips had no cyanosis, breathing a little promotion, showing that under mild sternal depression, reduced lung breath sounds, no smell and dry, moist rales, heart sounds strong, law Qi, is not known and pathological murmurs, abdomen a little swelling, tension is not high, swollen liver and spleen not palpable, bowel sounds weaker, limbs and penis edema, capillary filling time of about 2s, limb muscle Zhang weak, weak limbs bounced back and embrace reflex was not elicited, sucking, feeding and holding the reflection leads to incomplete. three conventional hospital laboratory examinations, blood glucose, electrolytes normal, enzyme slightly higher procalcitoningt; 0.5ng / ml, lt;2ng/ml, CRP normal, blood culture (-), blood gas: pH 7.257, PaCO2 7.39kPa, PO2 12.59kPa, FiO2 21%, chest X-ray s