克山病的急性发作多以心肌变质性休克的方式出现,但也有以其他急性病的方式发病的,如枝气管肺炎或急性腹疼等。以下便是一个以急性肺炎起病的例子。病例介绍宋××,女,4岁,居患区已四年,于1960年1月26日因发烧、咳嗽、气喘二天入院。入院时体检:体温38.2℃,脉搏和心率一致,为每分134次,呼吸短促、呈呼吸困难、颜面及口唇发绀,心尖搏动于左第五肋间隙锁骨中线上、心前区无心震颤、心界左侧于第五肋间隙锁骨中线外0.5厘米,心律整,心音纯。两肺有散在之湿性罗音,呼吸音粗糙。肝脾未触到。无颈静脉怒张及下肢浮肿。心电检查结果为不正常心电图,Q—T 时间延长0.09秒。诊断为①小 Keshan disease and acute seizures in the way of myocardial attrition shock, but there are also other acute diseases of the disease, such as bronchial pneumonia or acute abdominal pain and so on. The following is an example of acute onset of pneumonia. Case description Song × ×, female, 4 years old, living area has been four years, on January 26, 1960 due to fever, cough, asthma two days admitted. Physical examination on admission: body temperature 38.2 ℃, pulse and heart rate was 134 points per minute, shortness of breath, difficulty breathing, face and lips cyanosis, apex beat in the left intercostal space in the middle of the intercostal space, Left in the fifth intercostal space clavicle outside the midline 0.5 cm, heart rhythm, pure heart sound. Two lungs are scattered in the wet rales, breathing sounds rough. Liver and spleen did not touch. No jugular vein engorgement and lower extremity edema. ECG test results for abnormal ECG, Q-T time extension of 0.09 seconds. Diagnosed as ① small