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患者女,30岁,因咽痛、发热、心悸、胸闷、气促4天于1991年5月26日入院。体温38℃,血压10/6kPa。神萎,咽充血,心率94次,律不整,心尖区S_1降低。胸片示:左心缘稍膨隆。ECG 示:QRS V_1～5呈QS 型、ST 段弓背向上抬高。0.3～0.6mV。次日颈静脉充盈,心率104次,奔马律,心尖区Ⅱ/Ⅵ级SM,肝肋下3cm 压痛。多次测定CPK-MB、LDH、HBDH、SGOT 均增高,血培养阴性。ECG:Ⅱ°A-VB 莫氏Ⅱ型伴LAHB,室速。及时使用皮质激素及纠正心律失常、心衰和心源性休克等治疗。第3日恢复窦律,Q 波消失,ST 段回至等电位,T 波倒置。住院34天ECG仍有交界性早搏出院。
Female patient, 30 years old, due to sore throat, fever, heart palpitations, chest tightness, shortness of breath 4 days in May 26, 1991 admission. Body temperature 38 ℃, blood pressure 10 / 6kPa. Shen Wei, pharyngeal congestion, heart rate 94 times, irregular law, apex S_1 decreased. Chest X-ray showed: slightly inflated left heart edge. ECG showed: QRS V_1 ~ 5 was QS type, ST segment bow raised upward. 0.3 ~ 0.6mV. The next day jugular vein filling, heart rate 104 times, gallop, apical area Ⅱ / Ⅵ SM, liver ribs 3cm tenderness. Repeated determination of CPK-MB, LDH, HBDH, SGOT were increased, blood culture negative. ECG: Ⅱ ° A-VB Mohs Ⅱ type with LAHB, ventricular tachycardia. Timely use of corticosteroids and correct arrhythmia, heart failure and cardiogenic shock treatment. The third day to restore sinus rhythm, Q wave disappeared, ST segment back to the equipotential, T wave inversion. 34-day hospital stay ECG is still premature discharge.