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病例摘要患儿,男,6个月,住院号28308。第一胎,足月顺产,出生体重3.6Kg。母孕期40天曾患感冒。生后20余天时,其母发现患儿脉搏不规则,在当地医院诊断“心律不齐”,但未治疗,半月来因活动后气喘于1983年10月24日来院。体检:营养发育中等,体重8.5Kg,身长64cm,咽部充血,心音强弱不等,心律快慢不一,心脉率不一致,无杂音,心率180次/分,两肺无异常,呼吸40次/分,腹软,肝肋下1.0cm,质较,脾肋下刚可扪及。实验室检查:血红蛋白11.5g,白细胞4000/mm~3,中性61％,淋巴
Case Summary Children, male, 6 months, hospital number 28308. The first child, term full-term birth weight 3.6Kg. 40 days pregnant mother had a cold during pregnancy. More than 20 days after birth, his mother found irregular pulse in children, the diagnosis of “irregular heartbeat” at a local hospital, but untreated, half an month since the activity of panting on October 24, 1983 came to hospital. Physical examination: medium nutrition development, weight 8.5Kg, length 64cm, pharyngeal congestion, heart sound intensity varies, heart rate varies, heart rate is inconsistent, no noise, heart rate 180 beats / min, no abnormal lungs, breathing 40 times / Min, abdominal soft, liver ribs 1.0cm, quality, spleen and ribs just palpable. Laboratory tests: hemoglobin 11.5g, white blood cells 4000 / mm ~ 3, 61% of the neutral, lymph