病历摘要王××,男,5岁。1岁始张口呼吸,入睡打鼾。反复发热、咽痛,半年来症状加重,夜间常因吸气困难而憋醒,但无咳嗽、咯痰及腹痛、腹泻。2个月来心悸、气短、肝大、浮肿。9天前因受凉后上述症状加重而入院。查体:T38,烦躁不安,颜面浮肿,口唇紫绀,扁桃体Ⅲ°肿大,增殖体肥大,心尖部可闻及Ⅱ～Ⅲ级收缩期杂音,心率130。肝剑突下 Medical records Wang × ×, male, 5 years old. 1 year old Zhang mouth breathing, sleep snoring. Repeated fever, sore throat, six months of exacerbations, often because of difficulty breathing and arousal at night, but no cough, expectoration and abdominal pain, diarrhea. 2 months palpitations, shortness of breath, liver, edema. 9 days ago due to cold after the above symptoms and admission. Physical examination: T38, irritability, facial edema, cyanotic lips, tonsils Ⅲ ° enlargement, proliferation of body hypertrophy, apex can be heard and Ⅱ ~ Ⅲ systolic murmur, heart rate 130. Under the liver xiphoid