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编辑同志:贵刊1981年第11期发表沈隆武同志的《婴幼儿肺炎的病理生理与临床表现的关系》一文,对该文涉及的某些问题,愿提出商榷如下:一、关于诊断该文认为“不能单纯以心率超过160次/分,伴心音低钝或面色苍白、发灰、进行性呼吸困难,烦噪等作为早期心衰的主要依据,即使出现面部浮肿、进行性肝脏肿大也不是肺炎合并心衰所特有的体征”,说明了作者对以上指标基本上持否定态度。这些指标相当于1964年全国儿科会议拟定的肺炎并发心衰8条诊断指标中的6条。但后文又说,在8条中“具备1～4条,5～8条中各二条者,即可
Editor comrades: your issue No. 11, 1981 11 Comrade Shen Longwu published “pathophysiology of infant pneumonia and clinical manifestations of the relationship,” a text on some of the issues involved, would like to discuss as follows: First, the diagnosis of the text that “Can not simply heart rate more than 160 beats / min, with low or blunted heart pale, gray, progressive dyspnea, boredom as the main basis for early heart failure, even if facial edema, progressive liver enlargement is not Pneumonia complicated with heart failure-specific signs ”, indicating that the author basically negative attitude to the above indicators. These indicators are equivalent to six of the eight diagnostic criteria for pneumoconiosis complicated by the National Pediatric Congress of 1964. However, after the article added that in the eight "with 1 to 4, 5 to 8 in the two, you can