[例1]乔姓,女,5岁。不规则发热、咳嗽2周而入院。面部浮肿、苍白,心音低钝,心率132次/分,律齐,心尖柔和的Ⅰ级收缩期杂音,左肺少许粗湿罗音,肝肋下2.5厘米,关节无异常,未见皮疹。白细胞10250/立方毫米,中性72%。肝功能、尿常规、肥达氏反应、咽拭和血培养均无异常。X线胸透:左肺中下野片状阴影,心影增大,心胸比例79%,心尖搏动微弱。作2次心电图,均为窦性心动过速。入院后用红、氯霉紊及地塞米松等。入院后2天,气促,肝肋下5厘米,下肢浮肿。于12～14住院日,闻及心包摩擦音。住院15天,要求出院。出院时气平,浮肿退,心音尚强,心尖吹风样Ⅰ级收缩期杂音,心影仍增大。诊断为肺炎并发中毒性心肌炎、心包炎(?)。出院3周后再次入院。神清,萎软,面苍白,浮肿,心音低钝,心率35次/分,心 [Example 1] Joe surname, female, 5 years old. Irregular fever, cough 2 weeks and admitted to hospital. Facial edema, pale, low heart sound blunt, heart rate 132 beats / min, law Qi, atrial systolic mild Ⅰ systolic left lung a little rough wet rales, liver ribs 2.5 cm, no abnormal joints, no rash. White blood cells 10250 / cubic mm, neutral 72%. Liver function, urine routine, Widal reaction, pharyngeal swab and blood culture were normal. X-ray: the left lung, shady shadows, increased heart shadow, heart ratio of 79%, weak apex beat. For 2 times ECG, are sinus tachycardia. Admission with red, chloramphenicol dexamethasone and so on. 2 days after admission, shortness of breath, liver 5 cm, lower extremity edema. In 12 to 14 days of hospitalization, smell and pericardial friction sound. Hospitalized for 15 days, asked to discharge. Discharged gas level, edema withdrawal, heart sound is still strong, apex hair style Ⅰ systolic murmur, heart shadow still increased. Diagnosis of pneumonia complicated with toxic myocarditis, pericarditis (?). Discharged 3 weeks after hospitalization again. Shen Qing, wilting, pale face, edema, low heart sound blunt, heart rate 35 beats / min, heart