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患儿男,2天,于1975年11月28日因阵发性青紫、呼吸困难二天,由妇产科转入。患儿系足月顺产,产前有宫内窒息史。生后哭声大,呈尖声调,生后五分钟喉头有痰,经吸引好转,40分钟后出现青紫,并呈三凹症。心率140次/分。二肺无罗音,经吸氧后稍缓解。此后每当搬动、或吵闹后青紫加剧,故入本科进一步检查。系二胎二产。父母系姨表姐妹结婚,第一胎因“先天性心内膜下弹力纤维增生症”死亡。体检:体温37℃(肛),体重3750克,呼吸56～80次/分,不规则,呈阵发性青紫及三凹症。鼻唇周发绀,咽略充血,心率160次/分,心尖部Ⅰ~+级收缩期吹风样杂音,二肺散在哮鸣音、痰鸣及中小湿罗音,腹软。肝肋下刚及,四肢稍凉,神经系统检查正常。血:
Children male, 2 days, on November 28, 1975 due to paroxysmal bruising, two days of breathing difficulties, transferred from obstetrics and gynecology. Children with full-term delivery, prenatal history of intrauterine asphyxia. Crying after birth, was sharp tone, five minutes after birth throat phlegm, after the improvement of the suction, after 40 minutes bruising, and showed three concave symptoms. Heart rate 140 beats / min. Lung non-Luo sound, slightly relieved by oxygen. After each move, or noisy after the aggravating, it entered the undergraduate further examination. Department of second-born second child. Parents aunt cousin married, the first child died of “congenital endocardial fibroelastosis.” Physical examination: body temperature 37 ℃ (anal), weight 3750 grams, breathing 56 to 80 beats / min, irregular, was paroxysmal bruising and three concave disease. Nasolaryngeal cyanosis, pharyngeal slightly hyperemia, heart rate 160 beats / min, apical Ⅰ ~ + systolic hair-like murmur, lungs were scattered wheeze, phlegm and small wet rales, abdominal soft. Just under the ribs and liver, limbs slightly cooler, normal nervous system examination. blood: