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男婴,3个月,因烦躁不安1月加重5天入院。体检:T37.2℃,R48次/分,P180次/分。呼吸稍急促,无发绀。两肺呼吸音清晰,心率180次,律齐,心音有力,未闻及杂音。肝右肋下2cm,质软。心电图示心房扑动(2∶1传导)。胸片示心影呈普大型。心脏B超示:右房,右室,左房增大,左室稍大,心内结构正常。血LDH205U/L(正常60～140U/L,CPK125U/L(正常26～109U/L)。入院诊断为病毒性心肌炎,即予1.6二磷酸果糖及维生素C等治疗,并用西地兰复律,结果无效,改为心律平7.5mg静注2
Baby boy, 3 months, due to irritability in January increased 5 days admission. Physical examination: T37.2 ℃, R48 times / min, P180 times / min. Breath a little faster, no cyanosis. Breath sounds clear two lungs, heart rate 180 times, law Qi, powerful heart sounds, no smell and noise. Right hepatic ribs 2cm, soft. ECG shows atrial flutter (2: 1 conduction). X-ray chest X-ray showed a large general. B ultrasound shows the heart: right atrium, right ventricle, left atrial enlargement, left ventricular slightly larger, normal heart structure. Blood LDH205U / L (normal 60 ~ 140U / L, CPK125U / L (normal 26 ~ 109U / L) admitted to the hospital for the diagnosis of viral myocarditis, 1.6 fructose diphosphate and vitamin C and other treatment, and with cedilanized cardioversion, The result is invalid, change to 7.5mg intravenously