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1 病历报告 患男,11岁。感冒后出现心悸、乏力1周就诊。体格检查;心率75次/分左右,心律不齐,未闻及杂音。胸部X线检查示:双肺纹理增强,心脏大小正常;抗“O”320U;心电图示:心率75次/分,节律不齐,PⅡ、Ⅲ、aVF倒置,PaVR、V_1直立,P—R间期0.14Sec。临床诊断:病毒性心肌炎,右冠状窦心律。给予大剂量维生素C、能量合剂、抗生素及中药治疗2周,自觉症状消失,活动不受影响。随访3个月,心电图表现同前。
1 medical records suffering from male, 11 years old. Palpitation after a cold, fatigue, 1 week treatment. Physical examination; heart rate 75 beats / min or so, arrhythmia, no smell and noise. Chest X-ray examination showed: double lung texture enhancement, normal heart size; anti “O” 320U; ECG: heart rate 75 beats / min, arrhythmia, P Ⅱ, Ⅲ, aVF inversion, PaVR, V_1 upright, P-R Period 0.14Sec. Clinical diagnosis: viral myocarditis, right coronary sinus. Give large doses of vitamin C, energy mixture, antibiotics and Chinese medicine for 2 weeks, symptoms disappear, activities are not affected. Follow-up 3 months, ECG performance with the previous.