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亚急性感染性心内膜炎(简称SBE),不典型者常易漏、误诊。据报道漏、误诊率达47.1％,本文着重分析6例SBE病人的误诊情况,以提高对SBF的早期诊断水平。一、以发热、关节痛、血沉增快误诊为风湿活动者3例,其中男性2例,女性1例。平均年龄为42岁。例1:女性,30岁。患者既往有风湿性心脏病(简称风心病)。半月来因心慌气短、畏寒发热、四肢关节酸痛而住院。体温39℃,脉搏88次/分,血压100/60mmHg,皮肤及粘膜未见出血点。心尖区可闻Ⅲ级收缩期吹风样及舒张期隆隆样杂音,向左腋下传导;主动脉瓣区可闻及收缩期及舒张期杂音,向颈部传导;毛细血管搏动征阳性。肺无异常所见。肝肋缘下
Subacute infective endocarditis (referred to as SBE), atypical often easy to miss, misdiagnosed. It is reported missed, misdiagnosis rate of 47.1%, this article focuses on the analysis of 6 cases of SBE misdiagnosis of patients with SBR to improve the level of early diagnosis. First, with fever, arthralgia, erythrocyte sedimentation rate misdiagnosed as rheumatoid activity in 3 cases, including 2 males and 1 females. The average age is 42 years old. Example 1: Female, 30 years old. Patients with previous rheumatic heart disease (referred to as rheumatic heart disease). Half a month because of palpitation shortness of breath, chills fever, limb pain and hospitalization. Body temperature 39 ℃, pulse 88 beats / min, blood pressure 100 / 60mmHg, skin and mucous membrane no bleeding. Apex area can be heard grade Ⅲ systolic hair-style and diastolic rumbling like noise, left axillary conduction; aortic valve area can be heard systolic and diastolic murmurs, conduction to the neck; positive capillary beats. No abnormal lungs seen. Liver under the edge of the ribs