论文部分内容阅读
病例:男,8岁.因间歇性憋气、晕厥3月余入院。近日发作频繁.每日数10次,每次持续2～28分钟不等,自行缓解后入睡。病后无发热,发作间期无胸痛、胸闷、气短,院外诊断不明.既往无类似疾病史.生活在农村,以煎饼为主食。查体:T36.5,P40,Bp16/5.3kPa。一般情况可,双肺无异常,心前区无隆起,心尖搏动不弥散,心浊音界向两侧扩大,心率40次/分,律整,心音有力.心尖部可闻及Ⅱ级收缩期杂音.第二心音分裂。肝肋下3cm,(?)突下5cm,质软,脾未触及。四肢无浮肿,神经系统检查无异常.辅助检查,血常规、尿常规、便常规、
Case: Male, 8 years old. Due to intermittent suffocation, syncope more than 3 months admitted to hospital. Recently frequent seizures. 10 times a day, each lasting 2 to 28 minutes ranging from their own ease to sleep. After the illness without fever, no intercourse between chest pain, chest tightness, shortness of breath, out-of-hospital diagnosis is unknown .No previous history of similar diseases. Living in rural areas, pancake-based diet. Physical examination: T36.5, P40, Bp16 / 5.3kPa. In general, no abnormal lungs, no anterior precordial uplift, apical beating is not dispersed, the heart dullness to both sides of the expansion, the heart rate 40 beats / min, the whole law, heart sound and strong .Apex can be heard and Ⅱ systolic murmur The second heart sound splitting. Liver ribs 3cm, (?) Suddenly 5cm, soft, spleen not touched. No swelling of the limbs, no abnormalities in the nervous system examination. Auxiliary examination, blood, urine, routine,