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恙虫病是一种全身性疾病,可并发多器官损害,心肌炎及心律失常是心脏较常见的并发症。但并发急性心包炎较为罕见,现将我院遇到2例报告如下。例1 男,69岁,农民。因发热全身酸痛20天,咳嗽气促2天于1991年8月14日入院。入院体检:T39.8℃,P104次/分,R40次/分,BP12/8kPa,神清,急性重病容,颜面潮红浮肿,眼球结膜充血,双下肺可闻及湿性罗音。心音遥远,心律不齐。肝肋下2cm,压痛,脾未触及。腹股沟可触及蚕豆大淋巴结,有触痛。右臂部可见一个1.2×0.7cm焦痂。双下肢轻度浮肿。辅助检查:血常规:Hb103g/L,WBC5.9×10~9/L中性0.76、淋巴0.23。BUN
Tsutsugamushi disease is a systemic disease, may be complicated by multiple organ damage, myocarditis and arrhythmia is the heart of the more common complications. However, complicated with acute pericarditis is relatively rare, now I met two hospital reports are as follows. Example 1 male, 69 years old, farmer. 20 days due to fever, body aches, cough and shortness of breath 2 days in August 14, 1991 admission. Admission medical examination: T39.8 ℃, P104 times / min, R40 beats / min, BP12 / 8kPa, Shen Qing, acute serious illness, facial flushing edema, conjunctival hyperemia, both lungs can be heard and wet rales. Heart sounds far, irregular heartbeat. Liver ribs 2cm, tenderness, spleen not touched. Groin can reach broad bean lymph nodes, tenderness. The right arm shows a 1.2 × 0.7cm eschar. Lower extremity mild edema. Auxiliary examination: blood: Hb103g / L, WBC5.9 × 10 ~ 9 / L neutral 0.76, lymph 0.23. BUN