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患儿,男,5岁。临床诊断:病毒性心肌炎、心衰、阿-斯综合征。查体:Bp11/7kPa,急性病容,口唇发绀,呼吸困难。双肺呼吸音粗糙,可闻及少量哮鸣音和湿性罗音,心界向左下扩大,心率46次/分,律不齐,心音低钝,无病理性杂音,肝脾未及。WBC21×10~9/L,N0.90,M0.10,血沉17mm/小时,抗“O”1:400,CoxBA阳性,电解质正常。胸片示肺纹理紊乱,心影增大。超声心动图示左室轻度增大,心功能轻度降低。入院当日心电图为Ⅲ度房室传导阻滞,心室率43次/分,多
Children, male, 5 years old. Clinical diagnosis: viral myocarditis, heart failure, Als-Syndrome. Physical examination: Bp11 / 7kPa, acute disease, cyanotic lips, breathing difficulties. Breathing sounds rough lungs, can be heard and a small amount of wheezing and wet rales, heart to expand to the left, heart rate 46 beats / min, irregular heartbeat, low heart sound blunt, no pathological murmur, liver and spleen without. WBC21 × 10 ~ 9 / L, N0.90, M0.10, erythrocyte sedimentation rate 17mm / h, anti “O” 1: 400, CoxBA positive, electrolyte normal. Chest radiograph showed lung texture disorders, increased heart shadow. Echocardiography showed mild left ventricular enlargement, mild hypothyroidism. On the day of admission, the third degree ECG was atrioventricular block, heart rate 43 beats / min, and more