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患儿,女、12岁,兰州市郊区人。住院号:102250;因自觉乏力,进食少,心悸,活动时“出长气”二十余天,来儿科住院。既往身体健康,仅在入院前二个月学校健康检查时,发现“心律不齐”,续继上学。体格检查:体温36.7℃、脉搏66次/分、血压110/75mmHg、发育正常、营养中等。体重35Kg、精神不振、呈慢性病容。两肺呼吸音清晰、心率66次/分,心音低钝、节律不齐,早搏15~40次/分,各瓣膜区未闻及杂音、心界轻度扩大,腹平软、肝脾未触及、四肢脊柱活动自如,肢体末端无紫绀。
Children, female, 12 years old, suburban Lanzhou. Hospitalization: 102250; due to fatigue, eating less, palpitations, activities, “a long time,” more than 20 days to pediatric hospitalization. Previously healthy, only two months before admission to the school health examination, found that “arrhythmia”, continue to go to school. Physical examination: body temperature 36.7 ℃, pulse 66 beats / min, blood pressure 110 / 75mmHg, normal development, moderate nutrition. Weight 35Kg, lack of energy, was chronic disease. Breath sounds clear two lungs, heart rate 66 beats / min, low heart sound blunted, irregular rhythm, premature beats 15 to 40 beats / min, the valve area did not smell and murmur, mild heart expansion, abdominal soft, liver and spleen not touched , Limbs spine freely, no cyanosis of the extremities.