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冯××,男,16岁。急诊入院。既往有晕厥及阵发性抽搐,发作4次。每次持续3分钟左右。此次检查EKG正值病人发生抽搐时。患者面色苍白,表情淡漠,呼吸不均,脉搏细弱,有时摸不到。血压70/40mmHg,体温37.4℃,白细胞17,600,心前区可闻及收缩期Ⅱ级杂音。临床诊断:病毒性心肌炎,心源性休克。图纸分析(附图);Ⅱ导联为连续记录的心电图。
Feng × ×, male, 16 years old. Emergency admission. Past syncope and paroxysmal convulsions, attack 4 times. Each lasting about 3 minutes. The check EKG is positive when the patient convulsions. Patient pale, apathetic expression, uneven breathing, pulse weak, sometimes not touch. Blood pressure 70 / 40mmHg, body temperature 37.4 ℃, WBC 17,600, precordial area can be heard and systolic Ⅱ level murmur. Clinical diagnosis: viral myocarditis, cardiogenic shock. Drawing analysis (with photos); Ⅱ leads for continuous recording of ECG.