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患儿女性,13岁。因游走性大关节疼痛1年余,心悸、胸闷2个月,于1995年1月25日入院。经体检、实验室检查、心电图、心脏X线拍片及彩色超声心动图检查,确诊为风湿热、风湿活动、慢性风湿性心脏病、二尖瓣关闭不全伴狭窄。心功能三级。入院后予以抗炎、抗风湿、卧床休息等综合处理。为了减轻心脏负荷,改善心功能,在应用小剂量地高辛的基础上,于3月14日开始给予卡托普利(开博通,汕头金制药总厂生,每片25mg),一次口服12.5mg,每
Children with children, 13 years old. Due to migratory joint pain more than 1 year, palpitations, chest tightness 2 months, January 25, 1995 admission. The physical examination, laboratory tests, electrocardiogram, cardiac X-ray film and color echocardiography, diagnosed as rheumatic fever, rheumatic activity, chronic rheumatic heart disease, mitral regurgitation with stenosis. Three heart function. After admission to be anti-inflammatory, anti-rheumatic, bed rest and other comprehensive treatment. In order to reduce heart load, improve heart function, on the basis of the application of low-dose digoxin, captopril (Kai Boxun, Shantou Gold Pharmaceutical Factory, 25mg per tablet) 12.5mg, each