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患者男,6岁余。因颜面部浮肿、腹胀伴发热半年入院。3年前因室间隔缺损在我院行室间隔缺损介入封堵术。1年前因病毒性心肌炎并发三度房室传导阻滞在我院行起搏器植入术。体温38.9℃,神清,心界不大,无杂音。初步诊断:感染性心内膜炎?血培养:提示革兰氏阳性菌。心超检查(图1):右房稍增大,左心尚正常,房间隔连续完整,室间隔见封堵器回声,位置固定,右房室腔内探及两个起搏导线
Patient male, 6 years old. Due to facial swelling, abdominal distension with fever six months admitted. 3 years ago due to ventricular septal defect in our hospital ventricular septal defect involved in closure surgery. A year ago because of viral myocarditis complicated by third degree atrioventricular block pacemaker implantation in our hospital. Body temperature 38.9 ℃, God clear, heart is not big, no noise. Initial diagnosis: Infective endocarditis? Blood culture: Tip Gram-positive bacteria. Hypertrophies (Figure 1): Right atrium slightly increased, the left heart is still normal, continuous atrial septum, see septal echo occluder, fixed position, right atrioventricular probe and two pacing leads