1　病历简介患儿 ,男 ,第一胎 ,足月顺产。生后 13小时 ,因“巨大脐疝”由外院转入。查体 :出生时体重 335 0 g,神清、无紫绀 ;心率178次 / m in,节律齐 ,胸骨左缘 2、3肋间闻及 2级收缩期吹风样杂音 ,肺动脉第二音亢进 ,心前区未触及震颤 ;呼吸6 3次 / min,双肺呼吸音稍粗 ,未 1 medical records with children, male, the first child, full-term delivery. 13 hours after birth, due to “huge umbilical hernia” transferred from the outer court. Examination: birth weight 335 0 g, Shen Qing, no cyanosis; heart rate 178 times / m in, rhythm Qi, the left border of the sternal 2,3 intercostal smell and 2 systolic hair-like murmur, pulmonary second tone hyperthyroidism, Premonitory area did not touch tremor; breath 6 3 times / min, lung breath sounds a little rough, not