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患儿男,7岁。因面黄、乏力1年余,以贫血原因待查收住院。患儿自幼食欲不振,近1年来出现面黄、乏力、懒动,4个月前因贫血曾输血1次,输血后一般情况好转,但近1个月来病情加重。查体:发育一般,面色苍黄,心前区闻及Ⅱ级收缩期杂音,余无明显异常。辅助检查:肝功能正常;HGB45g/L,RBC2.1×10~9/L,WBC6.4×10~9/L,RC0.3％;大便蛔虫卵少许/高倍镜,OB(-)。胸片示先心病(室缺);心脏彩色多普勒B超示左室条索。胃肠钡餐透视示食管短,贲门位
Children male, 7 years old. Due to face yellow, fatigue more than 1 year, anemia to be admitted to hospital. Children with poor appetite since the early years, the past 1 years appeared face yellow, fatigue, lazy move, 4 months ago anemia had transfusion 1, the general situation after transfusion improved, but the condition worsened in the past month. Physical examination: general development, pale yellow, precordial area and Ⅱ systolic murmur, I no obvious abnormalities. Auxiliary examination: normal liver function; HGB45g / L, RBC2.1 × 10 ~ 9 / L, WBC6.4 × 10 ~ 9 / L, RC0.3%; stool Ascaris eggs a little / high power microscope, OB (-). Chest X-ray showed first heart disease (atrioventricular); cardiac color Doppler B ultrasound showed left ventricular cord. Gastrointestinal barium meal shows short esophagus, cardia