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例1,女性,47岁,主诉阵发性心悸伴胸憋气紧6年,以心脏病性质待诊入院。查体心率120/分,律齐,未闻及杂音,心界不大。彩色超声心动图显示左室顺应性减低.心电图示窦性心动过速.T 波异常。90年6月19日施行经皮股静脉穿刺心内膜心肌活检术。术中在室间隔右室面钳取2块,右室膈面钳取1块2mm 直径心内膜组织送病理检查次日出现 CRBBB 的心电图。采用氟美松5mg/日,静脉给药,4天后心电图恢复正常.病理检查报告为亚急性心肌炎。例2.女性,34岁.主诉胸痛心悸7月余,以病毒性心肌炎可疑入院。查体无异常发现。彩色超声心动图及常规心电图正常。动态心电图可见偶发室性及房性早搏。90年6月6日施行经皮股静脉穿刺心内膜心肌活硂术。术中在室间隔右室面钳取2块,右室膈面1块2mm 直径心内膜送病检。次日发现 CRBBB 图型。采用氟美松5mg/日.静脉给药9天,仍无好转.直至1月后出院时仍没消失。病理检查报告为心肌炎。
Example 1, female, 47 years old, complained of paroxysmal palpitations chest tight breath tight for 6 years, to be admitted to hospital with heart disease nature. Physical examination heart rate 120 / min, law Qi, no smell and noise, little heart. Color echocardiography showed reduced left ventricular compliance Electrocardiogram showed sinus tachycardia T wave abnormalities. June 19, 90 Percutaneous femoral vein endocardial biopsy was performed. Intraoperative septal right ventricular clamp to take two, right ventricular diaphragmatic pliers took a 2mm diameter endocardial tissue sent to the pathological examination the next day CRBBB ECG. Fluoromethonin 5mg / day, intravenous administration, 4 days after electrocardiogram returned to normal.Pathological examination report for the subacute myocarditis. Example 2 female, 34 years old complained chest pain palpitations more than 7 months to suspicious admission of viral myocarditis. No abnormal findings. Color echocardiography and normal ECG. Dynamic electrocardiogram can be seen occasional ventricular and atrial premature beats. June 6, 90 Percutaneous femoral vein puncture endocardial live cardiomyopathy. Intraoperative septal right ventricular clamp taken two, right ventricular diaphragmatic a 2mm diameter endocardial disease examination. The next day found the CRBBB pattern. The use of dexamethasone 5mg / day intravenous administration of 9 days, still no improvement until January after discharge did not disappear. Pathological examination report for myocarditis.