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病历摘要例1:男,22天。患儿于上感后反复出现气急、发绀、咳嗽、时有呕吐。听诊心率数不清,肺部闻及湿罗音,肝肋下3.5cm,诊断为新生儿肺炎伴心衰。经抗感染、吸氧、强心剂等治疗,上述表现时有反复,至入院第七天心率140次,ECG检查为房性心动过速,伴2∶1房室传导阻滞,考虑为洋地黄中毒所致,并拟诊为病毒性心肌炎。第9天患儿又发作时,ECG示异位心率300次,各导联P、T重迭不易辨认,QRS形态同窦性,TⅠ、ⅡaVF浅、倒置,STV_2V_5段压低,0.1mv。诊断为阵发性室上性心动过速
Case History Summary 1: Male, 22 days. Children after repeated upper respiratory tract irritation, cyanosis, cough, sometimes vomiting. Hear a few heart rate, lung smell and wet rales, liver ribs 3.5cm, diagnosis of neonatal pneumonia with heart failure. After anti-infective, oxygen, cardiac therapy and so on, the performance of repeated, to the hospital the seventh day heart rate 140 times, ECG examination for atrial tachycardia, with 2: 1 atrioventricular block, considered as digitalis poisoning Due to be diagnosed as viral myocarditis. On the 9th day when the child recurred, the ECG showed ectopic heart rate 300 times. The P and T overlap of each lead was not easy to identify. The shape of QRS was similar to that of sinus. The T I and II aVF were shallow and inverted. The STV 2 V 5 was depressed and 0.1 mv. Diagnosis of paroxysmal supraventricular tachycardia