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临床资料 4例中男女各2例,年龄9~13岁。发热、胸闷、气急4例,游走性关节痛2例,不能平卧1例。4例心尖搏动明显、弥散、心界扩大、心音强、心率快、肝肿大,3例心影向两侧扩大,2例呈烧瓶样、1例右肺门结核。1例作B超:心包腔大量积掖。3例作ECG:窦速、心肌受累。1例血培养:金葡菌生长。1例入院后立即用毒K,9分钟后死亡。死后抽出550ml草绿色包液。1例尸解时发现心包腔内有700~800ml草绿色液体,病理示风湿性全心炎。1例二次共抽脓性心包液350ml,另一例诊断性穿刺,抽出100ml浅黄色液体。
4 cases of clinical data in 2 cases of men and women, aged 9 to 13 years. Fever, chest tightness, shortness of breath in 4 cases, 2 cases of migratory joint pain, can not lie in 1 case. 4 cases of apical beating was obvious, diffuse, expanding heart, heart sound, fast heart, hepatomegaly, three cases of heart shadow to both sides of the expansion, 2 cases were flask-like, 1 case of right hilar tuberculosis. 1 case of B ultrasound: a large number of pericardial tuck. 3 cases of ECG: sinus speed, myocardial involvement. 1 case of blood culture: Staphylococcus aureus growth. One patient was poisoned immediately after admission, and died after 9 minutes. After the death of 550ml out of green grass package liquid. 1 case of autopsy found in the pericardial cavity 700 ~ 800ml grass green liquid, pathological rheumatoid total heart inflammation. One case of secondary total purulent pericardial fluid 350ml, another case of diagnostic puncture, remove the 100ml light yellow liquid.