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婴儿或儿童细菌性心内膜炎并发乏氏窦瘤极其少见。本例女婴系第5胎第5产,妊娠38周。新生儿体重2.9kg,闻及心脏杂音。生后第1天因回肠闭锁而修补吻合。术后中央静脉留置插管以便长时间供给营养。生后第7周发生上呼吸道感染,腋下体温38.5℃,胸片示心脏肥大,转来诊治。患儿体重4.0kg,无青紫。胸骨右缘第2肋间闻及粗糙的收缩期喷射样杂音(3/6级),收缩早期最响,止于收缩中期。胸骨左缘第2肋间闻及高调舒张早期杂音(2/4级)。扪诊肝肋下5cm,脾肋下2cm。血色素6.6g/dl,红细胞压积20.5％,白细胞20800/mm~3,血沉12mm(1hr末)。连续6
Infantile or childhood bacterial endocarditis complicated with sinus disease is extremely rare. In this case, the fifth fetus is the fifth fetus, 38 weeks of pregnancy. Newborn weight 2.9kg, smell and heart murmur. The first day of life due to ileum repair and anastomosis. Postoperative central venous cannulation in order to provide nutrition for a long time. The first 7 weeks after birth, upper respiratory tract infection occurs, the underarm body temperature 38.5 ℃, chest X-ray showed cardiac hypertrophy, transferred to the diagnosis and treatment. Children weighing 4.0kg, no bruises. Right intercostal sutural second intercostal smell and rough systolic jet-like murmurs (3/6), the earliest systolic systolic, stop in the mid-term contractions. The second intercostal space on the left margin of the sternum is pronounced with high-profile diastolic early murmurs (grade 2/4). Palpation liver ribs 5cm, spleen ribs 2cm. Hemoglobin 6.6g / dl, hematocrit 20.5%, white blood cells 20800 / mm ~ 3, ESR 12mm (1hr end). Continuous 6