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咽部重症感染引起急性心性猝死病例报道不多,我院收治4例现报告如下。例1,女,16岁,因咽痛发热,颈部肿痛3d,1960年11月6日入院。T38.7℃,BP13/9kPa,P94次/min,软腭、悬雍重、咽前后弓红肿,扁桃体Ⅲ°大,口咽部覆盖大片白色伪膜,双颌下淋巴结肿大,并向颈部呈弥漫性肿胀,心肺正常。实验室检查:WBC 30.3×10~9/L,N0.91,咽拭涂片及细菌培养未查见白喉杆菌,细菌培养为金黄色葡萄球菌。入院诊断为急性扁桃体炎,扁桃体周围炎。大量抗生素不能阻止病情发展,咽部伪膜渗血呈黑色,其后精神萎靡,心率160次/min,BP 10/7kPa,心电图示多原多发性室性早搏,STv_1-v_6压低1mv,T 波低平,血压降至
Severe throat infection caused by sudden cases of sudden cardiac death reported few, 4 cases were admitted to our hospital are as follows. Example 1, female, 16 years old, because of sore throat fever, neck pain 3d, November 6, 1960 admission. T38.7 ℃, BP13 / 9kPa, P94 times / min, soft palate, hanging yung weight, swollen pharyngeal anterior and posterior pharyngeal tonsil Ⅲ ° large oropharyngeal cover large white pseudomembranous, submandibular lymph nodes, and to the neck Was diffuse swelling, normal heart and lungs. Laboratory tests: WBC 30.3 × 10 ~ 9 / L, N0.91, pharyngeal smear and bacterial culture did not see diphtheria bacilli, bacterial culture Staphylococcus aureus. Admission diagnosis of acute tonsillitis, tonsillitis around. A large number of antibiotics can not prevent the progression of the disease, pharyngeal pseudomembranous bleeding was black, then apathetic, heart rate 160 beats / min, BP 10 / 7kPa, ECG showed multiple premature ventricular contractions, STv_1-v_6 down 1mv, T wave Low flat, blood pressure dropped to