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患儿女,6岁,于1990年4月23日入院。16d 前曾低热1d(体温38℃),轻咳,无痰,不气喘。无颜面苍白、心前不适及恶心呕吐,但自觉心悸。既往体健。外院曾按。病毒性心肌炎”应用青霉素、能量合剂,疗效不佳。入院前发热1d,体温39.8℃,轻咳,心悸加剧,持续10+h。查体:T36.5℃,P240次/min,R48次/min,BP12/9kPa。一般状态可,烦躁,乏力,懒言,无发绀。心界不大,心率240次/min,心音有力,律齐,各瓣膜未闻及杂音。双肺呼吸音粗糙,未闻及罗音。肝脾未触及。全身无浮肿。实验室检查:WBC10.4
Children with children, 6 years old, were admitted to hospital on April 23, 1990. 16d before a fever 1d (body temperature 38 ℃), light cough, no sputum, no asthma. No face pale, discomfort and nausea vomiting, but consciously palpitations. Past physical health. Outside the hospital once press. Viral myocarditis "application of penicillin, energy mixture, curative effect.A pre-hospital fever 1d, body temperature 39.8 ℃, mild cough, palpitations intensified for 10 + h. Examination: T36.5 ℃, P240 times / min, R48 times / min, BP12 / 9kPa. The general state can be, irritability, fatigue, laziness, no cyanosis. Heart is not heart rate, heart rate 240 beats / min, strong heart sound, law Qi, the valve did not smell and noise. Not heard and rales. Liver and spleen not touched. Body no edema. Laboratory tests: WBC10.4