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患儿,男,30天,1983年1月3日入院。住院号:6720。因鼻塞四天,咳嗽伴气急一天入院,不发热,无吐泻。系G_1P_1足月顺产,出生体重5.3斤,生后母乳喂养。患儿自生后常于哭闹和吃奶后面部青紫,有时气急。父母非近亲结婚,平素健康,母亲于怀孕期间无患病史和服药史,家属于中未问出有先天性心脏病患者。入院体检:体温36.8℃,心率176次/分,呼吸76次/分,发育营养较差,呼吸急促,唇、甲轻度紫绀,前囟2×2厘米,咽不红,颈静脉显露,胸廓无畸形,吸气性三凹征阳性,两肺呼吸音粗,左腋下可闻及细湿罗音。心尖博动较弥散,心界向左增大达腋前
Children, male, 30 days, January 3, 1983 admission. Hospital number: 6720. Due to nasal congestion for four days, cough with acute gas admission one day, no fever, no vomiting. Department of full-term G_1P_1 birth, birth weight 5.3 pounds, after birth, breastfeeding. Children often after crying and nurse facial bruises, sometimes impatient. Parents of non-relatives get married, usually healthy, mothers during pregnancy without history and medication history, the family did not ask in patients with congenital heart disease. Admission physical examination: body temperature 36.8 ℃, heart rate 176 beats / min, breathing 76 beats / min, poor development of nutrition, shortness of breath, lip, A mild cyanosis, anterior fontanel 2 × 2 cm, pharynx red, jugular vein revealed thorax No deformity, inhalation three concave positive, two lungs breathing sound coarse, left armpit can smell fine wet rales. Apnea more ambiguous movement, the heart bound to the left increased axillary