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患者,男,18岁,心悸气短伴周身浮肿不能平卧10天于1986年6月28日入院。体格检查,体温35℃、脉搏160次、血压16/12kPa(120/90mmHg)。轻度发绀,颜面及四肢浮肿,颈静脉怒张,心界向两侧扩大,心前区可闻及舒张期奔马律,肝大右锁骨中线肋缘下3.5cm,脾未触及。X线心脏摄影示心脏向双侧扩大、右胸腔有少量积液。超声心动图未发现心包积液。化验血CPK、LDH、GOT,血清钾、钠、氯,
Patients, male, 18 years old, palpitation shortness of breath with periwound edema can not lie 10 days in June 28, 1986 admission. Physical examination, body temperature 35 ℃, pulse 160 times, blood pressure 16 / 12kPa (120 / 90mmHg). Mild cyanosis, facial and limb edema, jugular vein engorgement, expansion of the heart to both sides, the anterior chamber can be heard and diastolic gallop, liver right subclavian midline rib margin 3.5cm, spleen not touched. X-ray showed heart enlargement to both sides, a small amount of right pleural effusion. Echocardiography did not find pericardial effusion. Blood test CPK, LDH, GOT, serum potassium, sodium, chlorine,