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婴儿克山病其临床与病理不吻合的现象较为突出,初发病时体征不明显,症状易受并发的感染性疾病掩盖。病理推断,最先发生的心肌坏死较临床发病时间提前3周以上。心原性休克者,病理组织学上并未相应反映凝固性肌崩解。喂养调查表明,有1例完全无母乳,4例哺母乳时间不足半月,采用当地产大米制成米浆,配入少量牛奶粉、白糖调成流质状食物喂养,其间不添加蔬菜、禽蛋、肉、豆类食品。同一家庭环境条件的另5例,则因为整个婴儿期是靠母乳喂养而没有发病。
Keshan disease in children with clinical and pathological findings are not prominent, the initial signs of obvious symptoms, the symptoms are easily covered by concurrent infectious diseases. Pathological inference, the first occurrence of myocardial necrosis more than 3 weeks earlier than the clinical onset. Cardiomyogenic shock, histopathology did not reflect the corresponding coagulation of muscle disintegration. Feeding survey showed that there was 1 case of complete breastfeeding and 4 cases of breastfeeding in less than half a month. The rice was made from local rice and mixed with a small amount of milk powder. The sugar was transferred into liquid food without any addition of vegetables, eggs, Meat, beans food. The other 5 cases of the same family environmental conditions, because the entire infancy is breastfeeding without disease.