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例1,男,47岁.因发烧、腰痛4d,少尿2d,于1990年11月24日入院.既往无心脏病病史.体检:T36.8℃,P80次/min.BP14/10kPa 颜面浮肿,球结膜充血,心界不大,心率90次/min 心律绝对不齐,心音强弱不等.双肾区叩击痛(+).实验室检查:Hb130g/L,WBC18.8×10~9/L.N0.72,L0.20,异淋0.08,PC38×10~9/L,尿蛋白(+++),潜血(+),BUN17.6mmol/L,CO_(?)CP17.7mmol/L,血清K~+3.9mmol/L.流行性出血热(EHF)抗体阳性.心电图示心房纤颤.诊断为EHF并发心房纤颤.人院后按EHF 综合治疗并给予洋地黄
Example 1, male, 47 years old .Because of fever, low back pain 4d, oliguria 2d, admitted to hospital on November 24, 1990. No previous history of heart disease. Physical examination: T36.8 ℃, P80 /min.BP14/10kPa facial edema, Bulb conjunctival hyperemia, the heart is not big, the heart rate 90 beats / min arrhythmia, heart sound intensity ranging from percussion pain (+) .Laboratory examination: Hb130g / L, WBC18.8 × 10 ~ 9 /L.N0.72,L0.20, different lymph node 0.08, PC38 × 10 ~ 9 / L, urine protein (+++), occult blood (+), BUN17.6mmol / L, CO_ (?) CP17.7mmol / L, serum K ~ +3.9mmol / L. Epidemic hemorrhagic fever (EHF) antibody positive. ECG showed atrial fibrillation. EHF diagnosis of atrial fibrillation complicated by hospital treatment by EHF and give digitalis