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病例报告张××,男,九岁,住院号236486,因间断发热,伴心慌一年余,于1980年7月9日再次发作月余入院、体检:体温38℃,脉率120次/分,血压120/60毫米汞柱,端坐呼吸,精神萎糜不振,口唇发绀,颈静脉怒张,心前区隆起,心左界于第五肋间乳线外1.5厘米,心率120次/分,律齐,心尖部可闻及Ⅳ级收缩期及舒张期杂音,肺呼吸音无异常,肝于肋下6厘米,剑下5厘米,边缘钝、压痛明显,肝颈反流阳性、下肢有轻度指凹性浮肿。实验室检查:血像:血红蛋白7克%,白细胞10900/立方毫米,单核细胞1%,淋巴细胞39%,
Case report Zhang × ×, male, nine years old, hospital number 236486, due to intermittent fever, with palpitation for more than a year, on July 9, 1980 again episodes of admission, physical examination: body temperature 38 ℃, pulse rate 120 beats / min , Blood pressure 120/60 mm Hg, sitting breathing, mental wilt, cyanotic lips, jugular vein engorgement, anterior precinct uplift, heart left border in the fifth intercostal milk outside 1.5 cm, heart rate 120 beats / min , Law Qi, apex can be heard and Ⅳ systolic and diastolic murmur, lung breath sounds no abnormalities, liver in the ribs 6 cm, 5 cm sword, blunt edge, tenderness, positive liver neck reflux, lower extremity Mild concave refers to edema. Laboratory tests: Blood: hemoglobin 7%, white blood cells 10900 / cubic mm, monocytes 1%, 39% of lymphocytes,