1.病例介绍 患者女,10岁,以乏力7个月、咳嗽气短5个月加重1月在当地按心肌炎诊治无好转而入院。查体:血压24/10 KPa,精神差,面色潮红。颌下、腋下及胪股沟区可扪及7—8粒约0.8×0.8cm大小的淋巴结质中,活动度良好。唇微绀,咽充血,扁桃体肿大(Ⅱ°)。双肺呼吸音粗,心界扩大,心律140次/分,律齐、心音低钝,心 1. Case description Female patient, 10 years old, with fatigue for 7 months, shortness of breath cough 5 months increased in January according to the local diagnosis and treatment of myocarditis without improvement and admission. Physical examination: blood pressure 24/10 KPa, poor spirit, pale flush. Under the mandibular, armpit and Guizigou palpable 7-8 and about 0.8 × 0.8cm size of lymph node mass, good mobility. Micro-cyan lips, pharyngeal congestion, tonsil enlargement (Ⅱ °). Breath sounds coarse lungs, expanding the heart, heart rate 140 beats / min, Law Qi, heart sound low blunt, heart