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病例摘要女,17岁,待高考的学生,因心悸、乏力、多汗,食欲不振、易于激动、失眠来门诊求医。查体:呼吸稍快、脉搏快,血压96/60mmHg,面色苍白,神志清楚,语明。两肺呼吸音正常,无罗音,心率114/分,偶逢早搏、心尖区可闻Ⅱ级柔软吹风样收缩期杂音,第一心音低钝。腹平软,肝脾不大。四肢末梢震颤(++),未查心电图。临床诊断:心血管神经官能症治疗:安定剂治疗,并且嘱其加强户外体育运动。患者按其医嘱大剂量运动,在操场长跑时,突
Case Summary Female, 17 years old, to be college entrance examination students, due to heart palpitations, fatigue, sweating, loss of appetite, easy to excited, insomnia to outpatient treatment. Physical examination: breathing slightly faster, faster pulse, blood pressure 96 / 60mmHg, pale, conscious, language. Breathing sound of both lungs normal, no rales, heart rate 114 / min, even every premature beats, apnea area can smell Ⅱ soft hair-like systolic murmur, the first heart sound low blunt. Abdomen soft, not large liver and spleen. Extremities tremor (++), not checked electrocardiogram. Clinical Diagnosis: Treatment of Cardiovascular Neurosis: Stabilizer treatment, and instructs it to strengthen outdoor sports. Patients according to their doctor’s advice high-dose exercise, long-distance running in the playground, suddenly