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患者男性26岁,农民。主因心悸、头晕、胸闷24小时,于1992年4月5日早8时来我院门诊就医。门诊经检查后以心律失常原因待查,病毒性心肌炎?收住院治疗。入院后查体:体温37.6℃,脉搏88次/分,呼吸22次/分,血压16/10kPa。神志清,精神差,呈极度疲劳状态。咽部无充血,双侧扁桃体不大,颈软,气管居中,胸对称,心界不大,心音略低,节律不齐,可闻及频发早搏。心率88次/分,未闻及病理性杂音。双肺呼吸音清晰,腹部检查未见阳性体征。心电图示:频发性室性早搏、二联律。血常规、血沉及心肌酶
Male patient 26 years old, farmer. Mainly due to heart palpitations, dizziness, chest tightness 24 hours, April 5, 1992 8 am to our hospital for medical treatment. Outpatient examination by arrhythmia to be investigated, viral myocarditis hospitalized. After admission, physical examination: body temperature 37.6 ℃, pulse 88 beats / min, breathing 22 beats / min, blood pressure 16 / 10kPa. Consciousness, poor spirit, was extremely tired state. Throat no congestion, bilateral tonsils, neck soft, tracheal center, chest symmetry, heart is not big, heart sounds slightly lower, irregular rhythm, can be heard and frequent premature beats. Heart rate 88 beats / min, no smell and pathological murmur. Breath sounds clear lungs, abdominal examination no positive signs. ECG shows: frequent premature ventricular contractions, two law. Blood, ESR and myocardial enzymes