Male infant, 10 minutes old, admitted for "groaning for 10 minutes after birth." The patient is the third of four births, delivered at 33+4 weeks' gestation by cesarean section due to "hypoproteinemia, hypertension, type 2 diabetes, hyperlipidemia, fatty liver disease, cholecystitis, polyhydramnios, and intrauterine growth restriction" during pregnancy. Birth weight was 1310 g, with Apgar scores of 6 (1 point deducted for respiration, skin color, reflexes, and muscle tone), 8 (1 point deducted for respiration and muscle tone), and 8 (1 point deducted for respiration and muscle tone) at 1, 5, and 10 minutes, respectively. The umbilical cord was wrapped around the neck once, the placenta was normal, and the amniotic fluid was clear (600 ml). The parents are not related, and there is no family history of genetic diseases. On admission examination: temperature 36.1°C, pulse 127 beats per minute, respiratory rate 60 breaths per minute, blood pressure 66/27 mmHg, weight 1.31 kg (
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