患儿男性,2个月,因咳嗽、气喘呛奶1天于1982年12月14日入院。入院前1天受凉后咳嗽、气喘伴呛奶、口吐白沫,哭闹时口周发绀,精神萎靡、大小便正常,不发热。患儿出生后哭声不大、但无声音嘶哑,生后15天即发现哭闹时口周发绀。系第1胎1产,足月自然分娩,无产伤史,其母妊娠初期患“细菌性痢疾”,服痢特灵5天。体查:体温37℃,脉搏210次/分,呼吸78次/分,体重4kg,精神萎靡、口唇、指、趾轻度发绀,未见杵状指、趾。面色苍白,前囟3×3cm~2,平坦。瞳孔等大,对光反应存在。心界不大、胸骨左缘2—3肋间闻及Ⅲ级收缩期吹风性杂音,向颈部 Children with children, 2 months, due to cough, asthma, choking 1 day in the hospital on December 14, 1982. 1 day before admission cough, cold with asthma with choking, foaming at the mouth, cyanosis when crying mouth, apathetic, normal urine, no fever. Children crying after birth is not large, but no hoarse voice, 15 days after birth found that when the mouth crocodile cyanosis cyanosis. Department of the first 1 births, full-term natural childbirth, no history of birth injury, the early pregnancy of his mother suffering from “bacillary dysentery,” serving furazolidone for 5 days. Physical examination: body temperature 37 ℃, pulse 210 beats / min, breathing 78 beats / min, weight 4kg, apathetic, lips, fingers, mild cyanosis, no clubbing, toe. Pale, bregma 3 × 3cm ~ 2, flat. Pupil and other large, light reaction exists. Heart is not big, sternal left edge of the intercostal space smell and Ⅲ grade systolic hair blowing noise, to the neck