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病史摘要男,7岁,因自幼肥胖、左半身进行性偏瘫4年,伴反复发作性气急、心悸9个月,于1981年11月2日入院。患儿系第四胎第三产,足月顺产,出生体重4.5kg,自幼食量大,每天另加鸡蛋2只,平素少动,形体肥胖。3岁曾高热伴抽搐一次。其后出现左半身轻瘫。5岁时加重,6岁时左手握力下降,不能抬举及持物,行走时左足拖地。1981年2月感冒一周后出现气急、心动过速、唇绀,当地医院按“心肌炎合并心衰”选用毛地黄等治疗,曾一度好转,同年7月和10月又类似发作,长期用地高辛口服治疗。
Male, 7 years old, due to childhood obesity, left hemiplegia for 4 years, with recurrent episodes of acute, palpitations 9 months, on November 2, 1981 admission. The fourth child of the third trimester of children, term full-term, birth weight 4.5kg, since the early food intake, plus two eggs per day, usually less, physical obesity. 3-year-old fever with convulsions once. After the emergence of the left half of the light paralysis. Increased at 5 years of age, 6-year-old left hand grip decreased, can not lift and hold objects, walking left foot mopping. In 1981 February a week after a cold appeared shortness of breath, tachycardia, cyanosis, the local hospital according to “myocarditis complicated with heart failure” selection of hairy yellow and other treatment, once improved, the same year in July and October and a similar attack, long-term digoxin mouth Treatment.