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例1.男,11岁。因胸闷、咳嗽、气急、腹胀、双下肢水肿、厌食入院。起病前半月余低热,在当地注青霉素治愈。近20天来症状加重,拟诊心脏病转我院。患儿平素体健,无心脏病、关节炎及传染病史。生长发育良好。体温36.8℃,脉搏134次/分,呼吸40次/分。消瘦,慢性病容,气急,不能平卧。咽稍充血。颈静脉怒张,左胸廓稍隆起,心尖搏动弥散。于左锁骨中线外2cm,心尖区闻及Ⅲ级吹风样收缩期杂音。腹胀满、软,有移动性浊音。肝剑突下10cm,肋缘下8cm,质中等,边缘钝。脾肋下6cm,质中等。肝脾均有压痛。双下肢重度凹陷性水肿。血白细胞7.9×10~9/L,中性68%,淋巴32%,血红蛋白87g/L。尿常规:蛋白少许,红细胞0～5/HP,白细胞2～6/HP。心电图示双心室肥大,窦性心动过速。
Example 1. Male, 11 years old. Due to chest tightness, cough, shortness of breath, bloating, lower extremity edema, anorexia admitted to hospital. Half a month before the onset of low heat, penicillin in the local cure. Nearly 20 days to increase the symptoms, proposed diagnosis of heart disease transferred to our hospital. Children with normal physical health, no heart disease, arthritis and infectious disease history. Good growth and development. Body temperature 36.8 ℃, pulse 134 beats / min, breathing 40 beats / min. Thin, chronic disease, shortness of breath, can not lie down. Throat slightly hyperemia. Jugular vein engorgement, left thorax slightly elevated, apical beating dispersion. Left in the middle of the left clavicle 2cm, apnea area smell and grade hair-like systolic murmur. Bloating full, soft, moving dullness. Liver xiphoid 10cm, rib margin 8cm, medium quality, blunt edge. Spleen ribs 6cm, medium quality. Both liver and spleen tenderness. Double lower extremity severe pitting edema. Blood leukocytes 7.9 × 10 ~ 9 / L, 68% neutral, lymphatic 32%, hemoglobin 87g / L. Urine: a little protein, red blood cells 0 ~ 5 / HP, white blood cells 2 ~ 6 / HP. ECG double ventricular hypertrophy, sinus tachycardia.