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患者女,30岁。于1998年4月28日入院。因发热3天,心悸1天入院。查体:体温38℃,皮肤无黄染,心界无扩大大,心率120次/分,心律不齐,早搏每分钟10次,第一心音减弱,心尖区Ⅲ级收缩期杂音,肝脾不大。白细胞3.4×10~9/L,中性0.67。谷草转氨酶838U/ L,α-羟丁酸脱氢酶正常,磷酸肌酸激酶236U/L,乳酸脱氢酶306U/L。X线胸片心肺正常。心电图示频发单源房早伴偶发室内差异性传导。超声心动图正常。B超示肝增大,胆囊壁水肿,脾轻度增大,胰腺正常。入院初诊为病毒性心肌炎,给予青霉素,病毒唑及保持心肌细胞药,4天
Female patient, 30 years old. On April 28, 1998 admitted. 3 days due to fever, palpitations 1 day admission. Physical examination: body temperature 38 ℃, no yellow skin, heart enlargement, heart rate 120 beats / min, arrhythmia, premature beats 10 times per minute, the first heart sound weakened, apical systolic murmur Ⅲ, liver and spleen Not big. White blood cells 3.4 × 10 ~ 9 / L, neutral 0.67. Aspartate aminotransferase 838U / L, alpha-hydroxybutyrate dehydrogenase normal, creatine phosphate kinase 236U / L, lactate dehydrogenase 306U / L. X-ray cardiopulmonary normal. Electrocardiogram frequency single source room early with occasional indoor differential conduction. Echocardiography normal. B ultrasound showed increased liver gallbladder wall edema, mild spleen increased, normal pancreas. Admitted to the newly diagnosed as viral myocarditis, penicillin, ribavirin and cardiomyocyte drugs, 4 days