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病历摘要女,15岁,住院号:83—6892,1983年8月23日入院。患者三月前因间歇低热、大关节肿痛3天,在某厂医院就诊,查血沉:144mm/小时,诊断为“风湿活跃”住院。经红霉素及抗风湿治疗一月好转出院。半月后又因受凉感冒,上述症状复发加重,伴高热、小腿肌痛再次入院。用红霉素、激素及抗风湿治疗一月,高热不退,四肢关节、肌肉疼痛加重,并出现腹部疼痛、畏寒及鼻衄,疑为“亚急性感染性心内膜炎”于8月23日转我院。既往史:1980年因关节疼痛、气促、心尖
Female medical record, 15 years old, hospital number: 83 - 6892, admitted to hospital on August 23, 1983. Three months ago, patients with intermittent fever, swollen joints and pain for 3 days, a factory hospital, check the blood sediment: 144mm / hour, diagnosed as “rheumatic active” hospitalization. Erythromycin and anti-rheumatic January improved discharged. Half a month later due to a cold, the recurrence of the above symptoms, with fever, calf muscle pain again hospitalized. Erythromycin, hormones and antirheumatic treatment of January, high fever, limbs joints, muscle pain increased, and abdominal pain, chills and epistaxis, suspected “subacute infective endocarditis” in August 23 days to our hospital. Past history: 1980 due to joint pain, shortness of breath, apical