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患儿,男,2岁10个月,因病毒性心肌炎,阿-斯二氏综合征病史年余,阵发性昏厥7天第四次入院。体检:体温38.3℃,神清。面色苍白,口周微绀。咽充血。心界不大,心率66次,律齐,心尖区闻及Ⅱ级收缩期杂音,心音低钝。肝肋下1.0cm。心电图检查:心房率190次,心室率84次,P-R不等,QRS0.04”。入院诊断病毒性心肌炎,Ⅲ°房室传导阻滞,阿-斯二氏综合征。立即吸氧,10％葡萄糖250ml加异丙肾0.2mg,1.4％碳酸氢钠140ml分批静滴,阿托品0.5mg,青霉素80万u/日肌注,心电监护。次
Children, male, 2 years old 10 months, due to viral myocarditis, more than a history of Asperis syndrome, paroxysmal fainting fourth days of admission. Physical examination: body temperature 38.3 ℃, God clear. Pale pale, perioral cyanosis. Pharyngeal congestion. Heart, heart rate 66 times, law Qi, apex area smell and Ⅱ systolic murmur, low heart sound blunt. Liver ribs 1.0cm. ECG: 190 atrial rate, ventricular rate 84, PR range, QRS0.04 "Admission diagnosis of viral myocarditis, Ⅲ ° atrioventricular block, Asperis syndrome. Immediate oxygen, 10% Glucose 250ml isoprenaline 0.2mg, 1.4% sodium bicarbonate 140ml intravenous infusion, atropine 0.5mg, penicillin 800000 u / day muscle injection, ECG monitoring.