True,the child was malnourished but that could not explain certain findings in relation to the CS, namely engorged neck eins. massie cardiomegaly,muffled heart sounds and pulsus paradoxus.

• 当然，该患儿是存在营养不良，但不能很好的解释心衰（颈静脉怒张、心脏扩大、心音低钝及奇脉）。