论文部分内容阅读
小儿慢性肺原性心脏病(以下简称肺心病)较为少见,现将我院1982年以来收治的3例,结合文献加以讨论。例1.男,6岁。因咳嗽、咳痰4年多,加重4个月入院。于4年前无何诱因突然阵咳,开始为白色泡沫样痰,尤以夜间及清晨较重,入院前4个月咳嗽加重,痰黄粘稠且量多,常在阵咳及哭闹时有呼吸困难及青紫,不能平卧,喜蹲踞。入院前1个月有低热。既往常有咯血,否认麻疹及病毒性肺炎史。体检:体温37℃,发育营养差,端坐呼吸,指甲及唇发绀。桶状胸,心率68次/分,两肺有湿罗音,肺动脉瓣第二音增强。腹软,肝肋下2.5cm,剑下4cm,有压痛。指、趾均呈杵状。血红蛋白120g/L,白细胞18.6×10~9/L,N66%,E9%,M1%,L24%。OT试验1:2000(-)。胸片示双肺纹理模糊,右肺下叶体积缩小,心膈面延
Chronic pulmonary heart disease in children (hereinafter referred to as pulmonary heart disease) is relatively rare, now admitted to our hospital since 1982, 3 cases, combined with the literature to be discussed. Example 1. Male, 6 years old. Due to cough, sputum more than 4 years, increased 4 months admission. No reason at 4 years ago suddenly cough cough, began to white foam-like sputum, especially in the night and early morning heavier, coughing 4 months before admission, thick and thick sputum yellow, often cough and crying Breathing difficulties and bruising, can not lie down, like squats. Low fever one month before admission. Hemoptysis was always denied, and history of measles and viral pneumonia was denied. Physical examination: body temperature 37 ℃, poor nutrition, sitting breathing, nails and lip cyanosis. Barrel-shaped chest, heart rate 68 beats / min, both lungs have wet rales, enhanced pulmonary valve second sound. Abdominal soft, liver ribs 2.5cm, sword 4cm, tenderness. Finger, toe were clubbing. Hemoglobin 120g / L, white blood cells 18.6 × 10 ~ 9 / L, N66%, E9%, M1%, L24%. OT Test 1: 2000 (-). Chest radiograph showed blurred lungs, lower right lung volume decreased, diaphragmatic extension