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对急性心包炎误诊1例分析如下。1病历摘要男,46岁。以胸痛、发热3 h来诊。胸痛呈持续性剧痛,并放射至左肩,伴气短。查体:T 38.1℃,P 120次/min,R 34次/min,BP 100/65 mm Hg。神清,痛苦状,心肺听诊无异常。心电图检查示窦性心动过速,肢体导联QRS低电压,、、aVL、aVF、V3~V6导联S
Misdiagnosis of acute pericarditis in 1 case analyzed as follows. 1 medical record summary male, 46 years old. To chest pain, fever 3 h diagnosis. Chest pain was persistent pain, and radiation to the left shoulder, with shortness of breath. Examination: T 38.1 ℃, P 120 times / min, R 34 times / min, BP 100/65 mm Hg. Clear, painful, cardiopulmonary auscultation no exception. ECG showed sinus tachycardia, limb lead QRS low voltage ,,, aVL, aVF, V3 ~ V6 lead S