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患儿,男,2.3岁。因反复咳嗽、气促9个月,加重一个月入院。10个月前因发热,咳嗽,拟诊为“肺炎”在当地住院治疗,病情好转出院。之后又因受凉感冒出现咳嗽,气促,活动时加剧。一个月前,出现颜面部和双下肢浮肿,尿少,口唇发绀,当地医院以“心衰”收住院,用地高辛治疗,病情稳定后出院。出院后病情加重,以支气管肺炎并心衰,心脏疾患待查入我院。患儿系第三胎第三产,足月顺产,生后无窒息。父母非近亲婚配,无心脏病史;孕期无发热及用药和放射线接触史。家庭成员中无遗传病史。入院检查:T37C°,神清,呼吸急促,呈端坐呼吸,慢性病容,全身皮肤无皮疹和出血点,
Children, male, 2.3 years old. Due to repeated cough, shortness of breath 9 months, increased one month admission. 10 months ago due to fever, cough, diagnosed as “pneumonia” in the local hospital treatment, the condition improved and discharged. Later, because of the cold cough, shortness of breath, increased activity. A month ago, facial and lower extremity edema, oliguria and cyanosis of the lips appeared. The local hospital was admitted with “heart failure” and treated with digoxin. The patient was discharged after being stable. Exacerbations after discharge to bronchial pneumonia and heart failure, heart disease pending investigation into our hospital. Pediatric third child third trimester, full-term follow-up, postnatal asphyxia. Parents non-relatives marriage, no history of heart disease; no fever during pregnancy and medication and radiation exposure history. No genetic history of family members. Admission examination: T37C °, God clear, shortness of breath, was sitting and breathing, chronic illness, skin rash and bleeding points,