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病例报告男性婴儿,41天,因咳嗽、气促、流鼻涕入院。入院前10多天发现婴儿哭时颜面、口唇紫绀,入院后,紫绀日益严重。体检:T38.7℃,R62次。皮肤、口唇、指尖紫绀,心跳168次,心律整,听不到病理性杂音。双肺呼吸音浅,有湿性啰音。实验室检查:WBC5,250,分类:N63%,L33%,M4%。心电图诊断:左、右心室肥厚及心肌劳损。住院6天未曾停吸氧,死于心力衰竭。临床诊断:支气管肺炎,先天性心脏病。病理解剖:男婴尸,体重3kg,身长50cm;尸斑重,口唇及指(趾)紫绀。心脏:重60g、心前壁左降支冠状动脉极度扩
Case report Male infant, 41 days, due to cough, shortness of breath, runny nose admitted to hospital. More than 10 days before admission found that the baby crying face, lips cyanosis, admission, cyanosis is increasingly serious. Physical examination: T38.7 ℃, R62 times. Skin, lips, cyanotic fingertips, 168 heartbeats, heart rhythm, can not hear the pathological murmur. Breathing lungs light, wet rales. Laboratory tests: WBC5,250, Category: N63%, L33%, M4%. ECG diagnosis: left and right ventricular hypertrophy and myocardial strain. 6 days have not stopped breathing oxygen, died of heart failure. Clinical diagnosis: bronchial pneumonia, congenital heart disease. Pathological anatomy: male infant body weight 3kg, body length 50cm; corpse weight, lips and fingers (toe) cyanosis. Heart: Weight 60g, left anterior descending coronary artery extremely enlarged