患儿男,4天,因“气促、发现肌酶升高4天”入院。患儿系第1胎第1产,胎龄40+5周顺产娩出,羊水Ⅲ度污染,Apgar评分1 min 7分,5 min 9分,生后在当地医院发现转氨酶及肌酶增高,CK20 307 U/L,CK-MB 392 U/L,ALT 107.1U/L,AST594.3U/L,转至我院。否认家族遗传代谢疾病史。入院查体无异常。查血常规正常,转氨酶及肌酶明显增高。胸部X线片示肺炎,心电图正常,心脏彩 Children male, 4 days, due to “shortness of breath, muscle enzymes found elevated 4 days ” admission. Children with first birth of the first fetus, gestational age 40 + 5 weeks of spontaneous delivery, amniotic fluid Ⅲ degree pollution, Apgar score 1 min 7 min, 5 min 9 min after birth in the local hospital found elevated aminotransferase and muscle enzymes, CK20 307 U / L, CK-MB 392 U / L, ALT 107.1U / L, AST594.3U / L, to our hospital. Denied the family history of genetic disease. Admission examination without exception. Check blood normal, aminotransferase and muscle enzymes were significantly higher. Chest X-ray showed pneumonia, normal ECG, heart color