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病例报告例一:女,16岁,学生,住院号24982。1974年1月21日因发热,左踝关节红肿、痛6天,伴有小腿出现环形红斑入院。体检:体温38℃,脉搏120次/分,呼吸25次/分,血压120/60毫米汞柱。急病容,半卧位,颈静脉轻度怒张,双肺下方可闻散在性水泡音,心界向双侧扩大,心尖搏动较弥漫,心率124次/分,心尖区可闻收缩期及舒张期奔马律,腹软,肝右肋下1公分,双下肢浮肿+。检查:X光:心向双侧增大,以左侧为主,肺动脉干正常,左心房压迹不明显。心电图:①预激综合
A case report: female, 16 years old, student, hospital number 24982. January 21, 1974 due to fever, left ankle swelling, pain for 6 days, accompanied by annular erythema appeared in the lower leg. Physical examination: body temperature 38 ℃, pulse 120 beats / min, breathing 25 beats / min, blood pressure 120/60 mm Hg. Acute disease, semi-recumbent, jugular vein mild rage, the lungs can smell scattered in the blisters of the sound, the heart to both sides to expand, a more diffuse apex beat, heart rate 124 beats / min, apical symphysis systolic and diastolic Running gallop, abdomen soft, liver right rib 1 cm, lower extremity edema +. Check: X-ray: the heart increased to both sides, mainly to the left, normal pulmonary artery, left atrial indentation is not obvious. ECG: ① pre-excitation synthesis