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本文报道在巴西利亚医院收治的美洲锥虫病患者4例。病例一,男性,32岁,明显的充血性心力衰竭。临床检查显示:心脏扩大及三尖瓣闭锁不全,这是由于心室扩大而引起的功能性损害,因为锥虫不损害瓣膜而是破坏心肌纤维。患者由于心内的血栓栓塞内囊而引起右侧偏瘫。病例二,男性,未满40岁,在一次阿斯综合征发作时突然昏倒,脉搏每分钟仅30次,由于锥虫引起的心脏传导系统的破坏所致完全性传导阻滞。心脏大小正常,预后可能良好。
This article reports 4 patients with American trypanosomiasis at Brasilia Hospital. Case 1, male, 32 years old, obviously congestive heart failure. Clinical tests show that the heart is enlarged and the tricuspid regurgitation is incomplete, a functional impairment due to ventricular enlargement because tryptamycins damage the heart muscle fibers without damaging the valve. Patients with right hemiplegia due to intracardiac thromboembolism. Case 2, Male, under the age of 40, had a sudden fainting at the onset of Asperger’s syndrome with only 30 pulses per minute due to complete conduction block due to destruction of the cardiac conduction system caused by trypanosoma. Normal heart size, the prognosis may be good.