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患儿,男,生后9小时,因生后3小时发憋、青紫并进行性加重入院。检查:体温37℃,呼吸80～100次,脉搏180次,血压38mmHg,体重3400克。发育正常,颜面及四肢末端明显发纷,桶状胸,两肺未闻罗音,心前区无隆起及震颤,心界不大,心音有力,胸骨左缘2～4肋间可闻Ⅲ～Ⅳ级收缩期杂音,向心尖部传导,P_2亢进。心电图示石室肥厚,P波高尖,胸片示心尖圆钝上翘,心胸比例0.61。给予纠酸,升压及呼吸机辅助呼吸等抢救无效,呈持续性低氧血
Children, male, 9 hours after birth, due to 3 hours after birth fat hold, bruising and progressive increase admission. Check: body temperature 37 ℃, breathing 80 to 100 times, pulse 180 times, blood pressure 38mmHg, weight 3400 grams. Normal development, face and limbs were obviously the end of the dispute, the barrel chest, two lungs did not hear rales, anterior precordial absence of tremor and tremor, the heart is not strong, strong heart sounds, the left sternal border 2 ~ 4 can be heard Ⅲ ~ Ⅳ systolic murmur, conduction to the apical, P 2 hyperthyroidism. Electrocardiogram Shishi hypertrophy, P wave tip, the chest showed apical blunt upturned, the ratio of 0.61 chest. Give correction acid, boost and ventilator-assisted respiration and other rescue invalid, was persistent hypoxemia