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患者男性,11岁,因受凉后发热、心悸、胸闷、乏力及游走性关节痛10天入院.体检:T38.3℃,BP90/70,心界扩大,心率95次/分,律明显不齐,有漏搏,心尖第一心音低钝,可闻及Ⅱ级收缩期杂音.白细胞总数13,500/mm~3,ESR64mm/h.胸片示心脏扩大,超声心动图示左、右室增大.临床诊断:风湿性心脏炎.图1为入院时肢导联心电图,示规则的窦性心律(频率95次/分),P-R间期逐次延长至心室漏搏,形成短(0.64-0.68秒)、长(1.22-1.27秒)R-R间期交替的3:2
Male, 11 years old, admitted to hospital due to cold and fever, heart palpitations, chest tightness, weakness and migratory arthralgia. Physical examination: T38.3 ℃, BP90 / 70, heart extension, heart rate 95 beats / min, Qi, a leakage stroke, apical first heart sound low blunt, can be heard and Ⅱ systolic murmur.The total number of white blood cells 13,500 / mm ~ 3, ESR64mm / h .Expression of the heart chest X-ray, left and right ventricular echocardiography Large clinical diagnosis of rheumatic carditis .Figure 1 shows the electrocardiogram of limb leads on admission, showing the rules of sinus rhythm (frequency of 95 beats / min), PR interval prolonged to ventricular leakage, the formation of short (0.64-0.68 Seconds), long (1.22-1.27 seconds) alternating RR intervals of 3: 2