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最近我教研室尸解发现先天性心脏病——完全性大血管异位一例,现报告如下: 病史:患儿女性,36天。因颜面、口唇青紫20天,加重10天.1982年11月11日入院。体检:T36℃,P164次/分,R50次/分,发育正常、营养较差、神清,呼吸浅促,全身中心性紫绀,心前区不隆起,心界不大,心音有力,律齐、胸骨左缘3—4肋间可闻及Ⅱ级吹风样收播期杂音。不传导,不震颤,P_2不减弱,二肺底可闻中小水泡音。肝肋下2cm质软。化验。血色素17.5g,红血球597万,白细胞总数8400,中性45,淋巴51。心电图;窦性心律、电轴偏右、右室肥厚、提示心肌损害。超声心动图(M型及扇形扫描):先天性心脏病(永存动脉干)。入院诊断为紫绀型先天性心脏病、支气管肺炎。
Recently, I found a post-mortem examination of congenital heart disease - a case of complete major vascular disease, are reported as follows: History: Children with children, 36 days. Due to face, lips bruising 20 days, increased 10 days. November 11, 1982 admission. Physical examination: T36 ℃, P164 times / min, R50 beats / min, normal development, poor nutrition, Shen Qing, shallow breathing, systemic cyanosis, precordial not uplift, heart is not strong, heart sound, , Sternal left intercostal can be heard between the intercostal and Ⅱ Ⅱ hair-like broadcast noise. Not conduction, no tremor, P_2 is not weakened, the end of the lung can hear small blisters sound. Liver ribs 2cm soft. assay. 17.5 g hemoglobin, 5.97 million erythrocytes, 8400 leukocytes, 45 neutral, and 51 lymphomas. Electrocardiogram; sinus rhythm, right axis, right ventricular hypertrophy, suggesting that myocardial damage. Echocardiography (M-type and fan-shaped scanning): Congenital heart disease (permanent trunk). Admission diagnosed as cyanotic congenital heart disease, bronchial pneumonia.