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例1,男,14岁,因发热5～6天,咽痛3天诊断为上呼吸道感染,于1982年3月13日入院.根据门诊病史记录,发现患儿心前区有2～3级收缩期杂音已7～8年,曾诊断为“风湿性心脏病,二尖瓣关闭不全”.但患儿无心慌,气急及游走性关节疼痛.体检:体温39℃,脉搏114次,无皮疹,未发现皮下结节。咽充血,扁桃体Ⅱ度肿大,肺(一),心率114次.规律,心界在胸骨左缘第五肋间乳线上,
Example 1, male, 14 years old, due to fever 5 to 6 days, sore throat for 3 days diagnosed as upper respiratory tract infection, admitted to hospital on March 13, 1982. According to out-patient history records found that children with precocious puberty have 2 to 3 Systolic murmur has been 7 to 8 years, had been diagnosed as “rheumatic heart disease, mitral regurgitation.” However, children with no palpitation, shortness of breath and migratory joint pain.Physical examination: body temperature 39 ℃, pulse 114 times, no Rash, no subcutaneous nodules found. Pharyngeal hyperemia, tonsil Ⅱ degree enlargement, lung (a), heart rate 114. The law, the heart in the sternal left intercostal milk line,