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[病例简介]男,17岁。因胸闷1月余,加重伴发热、咯血2周。明显喘憋、下肢水肿5d入院。患者1月余前无明显诱因出现轻度胸闷、气短,登楼时明显,无其他伴随症状。2周前洗冷水澡后出现发热,体温最高达38.5℃,伴咽痛、咳嗽、咯痰,偶有痰中带血,在当地县医院摄X线胸片示:两肺纹理增多,心影增大,肺淤血?心脏超声示:全心增大,左室舒张功能受损,二尖瓣、三尖瓣、肺动脉瓣反流。心电图示:窦性心动过速,V_(1-3),导联r波纤细且上升不良。
[Case description] Male, 17 years old. More than 1 month due to chest tightness, increased with fever, hemoptysis for 2 weeks. Obstinate wheezing, lower extremity edema 5d admission. Patients before January no obvious incentive to appear mild chest tightness, shortness of breath, ascend the building obvious, no other accompanying symptoms. 2 weeks before taking a cold shower after fever, body temperature up to 38.5 ℃, with sore throat, cough, expectoration, occasionally bloody sputum, at the local county hospital radiography chest X-ray showed: lungs increased texture, heart shadow Increase, pulmonary congestion? Cardiac ultrasound showed: whole heart increased left ventricular diastolic dysfunction, mitral, tricuspid, pulmonary valve regurgitation. ECG shows: sinus tachycardia, V_ (1-3), lead r wave slender and bad rise.