儿童左冠状动脉异常起源于右冠窦并心肌致密化不全1例

Left coronary artery anomaly originated from the right coronary sinus with noncompaction of ventricular myocardium in a child:report of one case

病例男,10岁,因2天前剧烈运动后出现胸前区疼痛,活动时加重来我院诊治。门诊测血压87/52 mmHg(1 mmHg≈0.133 kPa),遂以“低血压:休克早期;心源性?”收入院。患儿无发热,近期无上感病史,既往无特殊病史。查体:精神欠佳,HR 102次/分,R 42次/分,BP 92/53 mmHg,SPO293%(未吸氧下),心音低钝,肢体冰凉,甲床颜色稍白,CRT>2 s,余未见异常。