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例1:男.68岁。因畏寒、发热、咳嗽伴气促7天入院.体检:T38.8℃,P98次/分.R24次/分.BP 17.6/12.5kPa.体重64kg.高枕平卧.颈静脉稍怒张,肝静脉逆流征阳性.肺呼吸音清晰。心尖搏动减弱,心浊音界向两侧扩大.心音弱.无心包摩擦音及心瓣膜杂音。腹无殊.下肢不肿.实验室检查:WBC6×10~9/L.N65％.L31％.M2％.E2％。尿常规(一)。ESR71mm/h。空腹血糖5.6mmol/L.ECG示低电压.ST段除aVR导联外均抬高,提示急性心包炎。X线胸片示心影增大。心脏B超见心包中等量积液.经抗炎治疗10天后体温正常.入院第20日病情明显改善.X线胸片心影明显缩小.心脏B超见心包积液较前明显吸收。入院20天予以强的松5mg,每日4次.用药第4周患者诉乏力,尿量增加。改为强的
Example 1: Male .68 years old. Due to chills, fever, cough with gas promote 7 days admission. Physical examination: T38.8 ℃, P98 times / min. R24 times / min. BP 17.6 / 12.5kPa. Weight 64kg. Hepatic venous reflux positive signs of lung breath sounds clear. Apex beating weakening, heart dullness to expand on both sides of the heart sound weak heartless rub fricative and heart valve noise. Abdomen without special. Lower extremity is not swollen. Laboratory tests: WBC6 × 10 ~ 9 / L.N65% .L31% .M2% .E2%. Urine routine (a). ESR71mm / h. Fasting glucose 5.6mmol / L.ECG showed low voltage. ST segment except aVR lead were elevated, suggesting acute pericarditis. X-ray showed increased heart shadow. Cardiac B-over to see the middle of the pericardial effusion.After 10 days of anti-inflammatory treatment, the body temperature was normal.The admission condition was significantly improved on the 20th.X-ray chest X-ray was significantly reduced.Cardiac B-see the pericardial effusion was significantly absorbed. Admitted to 20 days prednisone 5mg, 4 times a day 4. Medication patients with fatigue in the fourth week, urine output increased. Change to strong