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患者男,15岁.间断性左侧胸疼一个月,于1994年9月入院.入院前一个月无诱因出现左侧胸疼,呈阵发性发作,发作与运动无关.疼痛向左上臂放射,持续约10分钟自行缓解.入院前6天有上感史.门诊查心电图示频发室性早搏呈二、三联律.以“心律失常原因待查,心肌炎?”入院.查体:T37.4℃,P84次/分、全身皮肤粘膜无黄染及出血点.浅表淋巴结未及.咽红,两肺(一).心界不大,心律不齐,各瓣膜未闻及杂音.肝脾未及.实验室检查:Hb153g/L,WBC4.4×1O~9/L,中性0.63.淋巴0.35,单核0.02.平板运动试验(一).动态心电图:频发室早,房早.心肌酶LDH297—434u/L,CK80—55u/L,CK—MB15—14u/L,α—
The patient, male, aged 15. Intermittent left chest pain for a month, was admitted to hospital in September 1994. Left unilateral chest pain, paroxysmal attack, episode and exercise were not induced for one month before admission. , Continued to about 10 minutes to ease themselves .6 days before admission there is a sense of history .Outpatient check-up ECG frequent premature ventricular contractions was two, triple the law to “cause of arrhythmia to be checked, myocarditis?” 4 ℃, P84 times / min, systemic skin and mucosa without yellow dye and bleeding points. Superficial lymph nodes did not reach. Redness, both lungs (a). Heart, arrhythmia, the valve is not heard of noise. Spleen is not. Laboratory tests: Hb153g / L, WBC4.4 × 1O ~ 9 / L, neutral 0.63 Lymph 0.35, mononuclear 0.02 Tablet exercise test (a). Holter: . Myocardial enzymes LDH297-434u / L, CK80-55u / L, CK-MB15-14u / L, α-