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男,22岁。因胸痛、胸闷、心悸8 d于1991年11月2日入院。既往无心脏病史。体检:T37.8℃,P84次/mia,R20次/min,BP16/10kPa,气管居中,左下肺部叩诊稍浊,左下肺呼吸音低。心界向左扩大,心率84次/min,心律齐,心音低钝,P_2>A_2,心尖部可闻及ⅡSM,并有心包摩擦音,肝脾未触及,肝颈反流征(一)。实验室检查:血尿粪常规正常,肝功正常,抗“0”(一),血沉54mm/h,胸水常规:白细胞1800×10~6/L,N0.85,M0.15,
Male, 22 years old. Due to chest pain, chest tightness, palpitations 8 d in November 2, 1991 admission. No previous history of heart disease. Physical examination: T37.8 ℃, P84 times / mia, R20 times / min, BP16 / 10kPa, tracheal center, lower left lung percussion slightly turbid, lower left lung breath sounds low. Heart bound to the left to expand, the heart rate 84 beats / min, Qi heart, heart sound low blunt, P_2> A_2, apex can be heard and Ⅱ SM, and pericardial frictional sound, liver and spleen not touched, liver reflux syndrome (A). Laboratory tests: normal blood and urine excretion, normal liver function, anti “0” (a), ESR 54mm / h, pleural effusion routine: white blood cells 1800 × 10 ~ 6 / L, N0.85, M0.15,