患者男性,21岁。既往无器质性心脏病史。于1984年7月10日自觉头痛、高烧、乏力数日,按“上感”治疗,体温恢复正常,1天后出现心悸、气急、心前区隐痛、脉缓、软弱无力、脸色苍白。24小时后,颜面出现浮肿,乏力加重,精神极差。乘汽车1天半来院就诊途中多次出现心慌、胸闷、出冷汗。体检:心率72次/分,明显不齐,第1心音减弱。BP86/60。体温正常。心前 Patient male, 21 years old. No previous history of organic heart disease. In July 10, 1984 conscious headache, fever, fatigue for a few days, according to the “sense of” treatment, body temperature returned to normal, 1 day after palpitations, shortness of breath, precordial pain, pulse slow, weak, pale. 24 hours later, the face appears edema, fatigue worsened, very poor spirit. One and a half days by car to hospital several times on the way to see palpitation, chest tightness, a cold sweat. Physical examination: heart rate 72 beats / min, obviously missing, the first heart sound weakened. BP86 / 60. Normal body temperature. Heart