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患儿,女,15小时。因生后即出现心律不齐入院。第二胎,第一产,胎龄39周。因生前胎心慢(80次/分),心律不齐、有间歇,以胎儿宫内窘迫行剖腹产出生,生后无窒息,一般情况可。因查体发现仍有心律不齐,由外院转来。其母产前两周曾患上呼吸道感染。体检:体温36℃,呼吸40次,脉搏130次,体重3400g。反应好,哭声响,无呼吸困难和紫绀。双肺无罗音,心率130次,快慢不均,可闻漏跳12次/分,心音尚有力,未闻杂音。腹软,肝脾不大,四肢活动多而有力。实验室检查:血红蛋白15.8g、白细胞21,500,GOT77U,LDH1252U,CPK1372U,CRP(-),IgA0.14mg/ml,IgG
Children, women, 15 hours. Arrhythmia due to postnatal admission. The second child, first birth, gestational age 39 weeks. Due to prenatal fetal heart rate slow (80 beats / min), arrhythmia, intermittent, fetal distress line caesarean section birth, postnatal asphyxia, the general situation may be. Due to physical examination found arrhythmia, transferred from the outer court. The mother had respiratory tract infections two weeks before. Physical examination: body temperature 36 ℃, breathing 40 times, pulse 130 times, weight 3400g. Good response, crying, no breathing difficulties and cyanosis. Lung non-rales, heart rate 130 times, uneven speed, can smell leaking 12 beats / min, heart sound is powerful, unheard noises. Abdomen soft, small spleen and liver, limb activity and more powerful. Laboratory tests: hemoglobin 15.8g, leukocytes 21,500, GOT77U, LDH1252U, CPK1372U, CRP (-), IgA 0.14mg / ml, IgG