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作者报告一例流行性出血热引起右心房出血。男,19岁,既往健康,于1981年6月20日以全身不适、头痛、咽痛和体温升高而发病,8天后发生结合膜下出血,继之恶心、呕吐和腹痛。白细胞51,000,多形核55%,淋巴15%。尿检查:蛋白+++,红细胞中等。流行性出血热抗体效价4/4+,肌酸磷酸激酶20,150u/L,LDH3,840u/L,GOT 850u/L。胸片心脏扩大、右房突出和肺水肿。ECG 窦性心动过速和电压增高。漂浮导管测右侧心腔压力增高,尤以右房压增高明显.平均20mmHg。病情迅速恶化,
The authors report a case of epidemic hemorrhagic fever causing right atrial hemorrhage. Male, 19 years old, formerly healthy, onset of malaise, headache, sore throat and elevated body temperature on June 20, 1981, with subconjunctival hemorrhage 8 days later followed by nausea, vomiting and abdominal pain. 51,000 leukocytes, 55% pleomorphic, 15% lymphatic. Urinalysis: protein +++, red blood cells medium. Epidemic hemorrhagic fever antibody titer 4/4 +, creatine phosphokinase 20,150u / L, LDH3, 840u / L, GOT 850u / L. Chest X-ray enlargement, right atrial protrusion and pulmonary edema. ECG Sinus tachycardia and voltage increase. Floating catheter measured right heart pressure increased, especially in the right atrial pressure increased significantly, with an average of 20mmHg. The condition deteriorated rapidly,