论文部分内容阅读
女,剖宫产儿,出生体重2.8kg,Apgar评分9分.生后2小时出现呼吸困难,面色青灰,呼吸68次/分,心率160次/分,生理反射减弱,即给吸氧、保暖、抗感染等治疗.生后4小时明显吸气性呼吸困难,三凹症阳性,肺部听诊可闻及明显的喉鸣音,且出现抽搐,上肢肌张力减弱,初步诊断为“新生儿缺血缺氧性脑病,喉痉挛”.在吸氧、抗感染、止痉、脱脑水肿等治疗1天后,症状无改善.经儿科与口腔科大夫会诊,检查口腔及喉部时发现患儿无正常舌结构,无舌前部分,舌体约为正常的1/4,宽度约为正常的1/2,舌根后坠至喉头,阻塞呼吸道,引起呼吸困难,诊断为先天性舌发育不良.
Female, cesarean section, birth weight 2.8kg, Apgar score 9. 2 hours after birth, breathing difficulties, looking pale gray, breathing 68 beats / min, heart rate 160 beats / min, physiological reflex, that is, to oxygen, warm , Anti-infective therapy, etc. 4 hours after birth, significant inspiratory difficulty breathing, positive triple-negative, pulmonary auscultation can be heard and obvious throat ringing, and convulsions, lower extremity muscle tension, a preliminary diagnosis of “newborns Blood hypoxic encephalopathy, laryngospasm. ”In the oxygen, anti-infective, antispasmodic, cerebral edema and other treatment 1 day after no improvement in the symptoms. Pediatrics and dentistry doctor consultation, examination of the mouth and throat found that children without Normal tongue structure, no tongue anterior part of the tongue about the normal 1/4, the width of about normal 1/2, the tongue roots fall to the throat, blocking the respiratory tract, causing breathing difficulties, the diagnosis of congenital tongue dysplasia.