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患儿 男,4个月。生后呼吸促,此次住院主因咳嗽且日渐加重5天,伴喘1天于1994年12月入院。患儿于生后8天因肺炎、多源性房早,彩色B超示左房增大,住它院治疗40余天。其母孕期健康,非近亲婚配。体检:体温36.8℃,呼吸60次,脉搏不易摸清,强弱不等,120次/分。发育、营养中等。神清,面色苍白,三凹征阳性。口周稍发绀。两肺可闻干鸣,心前区无隆起,心音强弱不等,心率120～150次/分,节律不齐、无规律。未闻杂音。腹软,肝肋下3cm,脾肋下1cm。脊柱、四肢正常。男性外阴,双睾已降。实验室检查:血、尿、便常规检查正常。血电解质正常范围。心电图检查示:多源性房性早搏,房颤,
Children male, 4 months. Breathing after birth, the hospitalized patients due to coughing and increasing 5 days, 1 day with asthma admitted in December 1994. Children with 8 days after birth due to pneumonia, multi-source of the room early, color B ultrasound showed left atrial enlargement, live in its hospital for more than 40 days. Her mother during pregnancy, non-relatives of marriage. Physical examination: body temperature 36.8 ℃, breathing 60 times, the pulse is not easy to find out, strength ranging from 120 beats / min. Development, nutrition is medium. Clear, pale, three concave sign positive. Perioral slightly cyanosis. Two lungs can be heard dry Ming, precordial area without uplift, heart sound intensity range, heart rate 120 ~ 150 beats / min, irregular rhythm, irregular. Unheard noise. Abdomen soft, liver ribs 3cm, spleen ribs 1cm. Spine, limbs normal. Male genital, double testis has dropped. Laboratory tests: blood, urine, routine examination was normal. Blood electrolyte normal range. ECG showed: multi-source atrial premature beats, atrial fibrillation,