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例1系男性,18岁,江西省德安县人。因胸闷、心悸、皮疹、发热3d于1989年9月8日入院。1个月前在血吸虫病流行区有疫水接触史;既往无血吸虫病史。体检:神清,T37.8℃,两肺呼吸音清晰,心率91次/分,律不齐,可闻及频发早搏,无杂音。肝肋下1cm,剑下3cm,质中,轻压痛。脾肋下3cm。EKG检查,提示为频发室性早搏。经对症处理,胸闷、心慌无好转,体温逐渐升高,1wk后皮疹消失,体温波动在
Example 1 male, 18 years old, De’an County, Jiangxi Province. Due to chest tightness, palpitations, rash, fever 3d in September 8, 1989 admission. A month ago in the epidemic area of schistosomiasis have exposure to water; past no history of schistosomiasis. Physical examination: God clear, T37.8 ℃, clear breath sounds of both lungs, heart rate 91 beats / min, irregular, can be heard and frequent premature beats, no noise. Liver ribs 1cm, 3cm under the sword, the quality of light tenderness. Spleen ribs 3cm. EKG examination, suggesting frequent premature ventricular contractions. After symptomatic treatment, chest tightness, palpitation no improvement, body temperature gradually increased, 1wk after the rash disappeared, body temperature fluctuations in