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患者女性,二个半月,第一胎足月顺产,面色青灰、拒乳、呕吐两天,抽搐意识不清二小时急诊入院。 查体:体温不升、意识不清、口唇青紫、肢体厥冷、脉搏细弱、呼吸深缓、前囱平,心率130次/分,心衰明显,心音低钝,浊音界大。肝大肋下4.5厘米,脾肋下1.0厘米,心电图P—R波延长,T_1、Ⅱ、V_5、ST下移,T波倒置,临床诊断:心源性休克,心肌炎。 尸检:女婴,身长58厘米,体重4450克,心脏呈球形、心尖钝圆,大小为7×4×9厘米,重62克,瓣膜变厚,肉柱变硬,心内膜呈白色,左室壁厚0.9厘米,右室壁厚0.5厘米,心房壁厚0.15厘米,肝重235克。
Female patients, two and a half months, first full-term fetus, looking blue, refusal milk, vomiting for two days, convulsions unconsciously two hours emergency admission. Physical examination: body temperature does not rise, unconsciousness, lips purple, extremities Jueleng, weak pulse, breathing slowly, before the chimney flat, heart rate 130 beats / min, obvious heart failure, low heart sound dull, dull voice sector. Liver large rib 4.5 cm, 1.0 cm spleen ribs, ECG P-R wave extension, T_1, Ⅱ, V_5, ST down, T wave inversion, clinical diagnosis: cardiogenic shock, myocarditis. Autopsy: baby girl, body length 58 cm, weight 4450 g, spherical heart, apex obtuse, the size of 7 × 4 × 9 cm, weighing 62 grams, the valve thickening, the meat column hardens, the white endocardium, the left Room wall thickness 0.9 cm, right ventricular wall thickness 0.5 cm, atrial wall thickness 0.15 cm, liver weight 235 grams.