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患者,男,60岁。1989年12月9日。无明显原因出现畏寒、发热。体温波动在38～40℃之间,且以每日的下午及晚上为主,热退时大汗淋漓。10d后出现胸闷、胸痛。心电图示Ⅱ,Ⅲ,AVF,V_2～V_6T波倒置,频发房早。心脏多普勒示左室壁弥漫性运动减低。查血清酶TDH590u/dl,LDH_141.5％,以病毒性心肌炎收入院,查体:T38℃,BP16/10kPa。双肺未闻及干湿罗音。心率104次/min,早搏5～6次/min,无杂音。血WBC9×10~9/L,N0.80,L0.20.两次查血疟原虫阴性;血沉、抗“O”正常,类风湿因子、狼疮细胞、OT试验均阴性。曾先后给予多种抗生素静滴,体温不降,每日须口服APC0.5g或地
Patient, male, 60 years old. December 9, 1989. No obvious cause of chills, fever. Fluctuations in the temperature between 38 ~ 40 ℃, and the daily afternoon and evening mainly sweating sweating. After 10d chest tightness, chest pain. ECG shows Ⅱ, Ⅲ, AVF, V_2 ~ V_6T wave inversion, frequent room early. Cardiac Doppler showed reduced diffuse left ventricular wall motion. Check serum enzyme TDH590u / dl, LDH_141.5%, with viral myocarditis income hospital, physical examination: T38 ℃, BP16 / 10kPa. Unhealthy lungs and wet rales. Heart rate 104 beats / min, premature beats 5 to 6 beats / min, no noise. Blood WBC9 × 10 ~ 9 / L, N0.80, L0.20. Two negative blood tests of Plasmodium; ESR, anti-O normal, rheumatoid factor, lupus cells, OT test were negative. Has given intravenous infusion of a variety of antibiotics, body temperature does not drop daily oral APC 0.5g or