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患者女性,19岁,学生,入院前12日因齿槽脓肿拔除病牙,同时口服红霉素每日一克,共5日。入院前2日自觉胸骨后尖锐性疼痛,不放射,呈间隙性发作伴轻度恶心,无呼吸困难、咯血。既往无胸痛、风湿热、心脏杂音、糖尿病、高血压等病史。近期未用免疫抑制剂。入院时查体发现患者消瘦、血压92/50mmHg、脉搏107次/分、体温102°F,未见黄疸和皮肤瘀点,心血管检查无异常发现。实验室检查发现:白细胞总数12500。中性84%、血沉46mm/小时,血清肌酸激酶
Female patient, 19 years old, student, removal of diseased teeth due to alveolar abscess 12 days prior to admission, while taking oral erythromycin one gram daily for 5 days. On the 2nd day before admission, conscious chest acute pain, no radiation, was a serous episode with mild nausea, no breathing difficulties, hemoptysis. Past no chest pain, rheumatic fever, heart murmur, diabetes, hypertension and other medical history. No recent use of immunosuppressive agents. On admission, patients were found to be wasting, blood pressure 92 / 50mmHg, pulse 107 beats / min, body temperature 102 ° F, no jaundice and skin petechia, and no abnormal cardiovascular findings. Laboratory tests found that: the total number of 12500 leukocytes. 84% neutral, ESR 46mm / hour, serum creatine kinase