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患儿,男,60天,因咳嗽、气喘、面部发绀二周为主诉入院。第一胎足月顺产,分娩时情况良好,孕期其母无发烧及服药史。生后吸吮无力,吮奶量少,呼吸急促,无抽搐史。体检:发育正常,营养差,神志清楚,面部灰暗,唇发绀,点头呼吸,颈静脉怒张,无杵状指,左心前区明显隆起,心尖搏动在第四肋水平左乳线外3.5cm,搏动弥散,扪及猫喘,心音低,律齐,心率55次/分,胸骨左缘第三肋间闻Ⅳ级喷射样全收缩期杂音,无传导,两肺呼吸音粗糙,肺底部小水泡音,腹软,肝右肋下2.0cm,质中,脾未及。心电图示:房室分离,P 波与QRS 综合
Children, male, 60 days, due to cough, asthma, facial cyanuria two weeks mainly for admission. The first full-term first-born fetus, childbirth in good condition, the mother had no fever during pregnancy and medication history. Suckling after birth, sucking less, shortness of breath, no history of convulsions. Physical examination: normal development, poor nutrition, conscious, facial gray, cyanotic lips, nodding breathing, jugular vein distention, no clubbing refers to the left anterior region was significantly elevated apical beating in the fourth rib level left outside the milk line 3.5cm , Pulsating dispersion, palpable puffiness, low heart sound, law Qi, heart rate 55 beats / min, the third intercostal smell on the left border of the sternum squirt like symplectic systolic murmur, no conduction, rough breathing sounds of both lungs, lung bottom small Blisters sound, abdominal soft, right ribs 2.0cm, quality, the spleen has not yet. ECG shows: atrioventricular separation, P wave and QRS synthesis