新生儿心内膜弹力纤维增生症并发室间隔缺损1例

• 作 者: 王美巧
• 机 构: 西安市儿童医院新生儿科 710002
• 出 处: 陕西医学杂志
• 发表日期: 1998年03期
• 关键词: 室间隔缺损 呼吸急促 先天性心脏病 西地兰 母孕期 吹风样杂音 弹力纤维 洋地黄制剂 动脉导管 主要疗法

患儿,男,21d,以呼吸急促1周之代主诉入院,孕1产1。足月须产,母孕期健康。查体:T36℃。P180次/min,R68次/min,体重3.1kg。反应差,哭声无嘶哑,呼吸急促,口发绀,三凹征(+)。双肺可闻及密集的湿性罗音,心率180次/min,律齐。胸骨左缘3～4肋间可闻及Ⅲ～Ⅳ级收缩期吹风样杂音,向背部传导,肝右肋下4cm,突下3cm,双下肢无浮肿。入院诊断:①新生儿肺炎开发心力衰竭。②先天性心脏病。入院后给予吸氧、西地兰强心。抗感染等治疗。心率降至120次/min,肝肋下2cm,肺部温性罗音减少,呼

Children, male, 21d, to 1 week of shortness of breath the main complaint was hospitalized, pregnant 1 produce 1. Full-term need to produce, pregnant during pregnancy. Physical examination: T36 ℃. P180 times / min, R68 times / min, weight 3.1kg. Poor response, crying without hoarseness, shortness of breath, oral cyanosis, three concave sign (+). Lungs can be heard and intensive wet rales, heart rate 180 beats / min, law Qi. Sternal left margin 3 ~ 4 intercostal can be heard and Ⅲ ~ Ⅳ systolic hair-like murmurs, conduction to the back, right hepatic ribs 4cm, suddenly 3cm, both lower extremity edema. Admission diagnosis: ① neonatal pneumonia developed heart failure. ② congenital heart disease. Give oxygen after admission, cedilanq cardiac. Anti-infection treatment. Heart rate dropped to 120 times / min, liver ribs 2cm, pulmonary warm rales reduced, call