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患儿,女,18个月。住院号89622。因突然面色苍白,出冷汗,两眼上翻约3-4小时急诊入院。入院前2天有感冒史。体检:营养发育良好,体温37℃,精神萎靡,面色苍白,四肢厥冷,心率170次/分,心音强弱快慢不一,两肺呼吸音无异常,腹平软,肝肋缘下3cm,质软,边钝,脾未触及,两下肢无凹陷性浮肿。检验:血常规在正常范围,SOOT<50μ,LDH205μ,C_360mg％。心电图:心率190次/分,各导联P波消失,代之以f波,QRS波高低不等,R-R间期长短不一,V_1呈rSr’或rS波型v_5呈RS型,ST-T无异常。X线摄片:心影增大,心胸比例>65％。超声心动图:左室后壁活动减弱。临床诊断:病毒性心肌炎合并心房颤动。入院后给予毒毛旋花子甙k静注以及能量合剂,红霉素,庆大霉素等静脉点滴。20分钟后,面色始转红润,心率150次/分,6小时后心率130-150次/分,仍有房颤。再给静注毒
Children, women, 18 months. Hospital number 89622. Due to a sudden pale, out of cold sweat, his eyes turned up about 3-4 hours emergency admission. 2 days before admission, a history of cold. Physical examination: well-developed nutrition, body temperature 37 ℃, apathetic, pale, extremities Jueleng, heart rate 170 beats / min, heart sound strength varies slowly, both lung breath sounds no abnormalities, abdominal soft, Soft, blunt, spleen not touched, no depression of the lower extremity edema. Test: blood in the normal range, SOOT <50μ, LDH205μ, C_360mg%. ECG: heart rate 190 beats / min, the lead P wave disappeared, replaced by f wave, QRS wave height range, RR interval length varies, V_1 was rSr ’or rS waveform v_5 was RS type, ST-T No abnormality. X-ray: increased heart shadow, heart chest ratio> 65%. Echocardiography: Left ventricular posterior wall activity weakened. Clinical diagnosis: viral myocarditis complicated with atrial fibrillation. After admission to poisonous hair spinosad k intravenous injection and energy mixture, erythromycin, gentamicin and other intravenous drip. 20 minutes later, the face turned ruddy, heart rate 150 beats / min, 6 hours after the heart rate 130-150 beats / min, still atrial fibrillation. Give intravenous injection again