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例1 女,27岁。以阵发性心前区憋闷、心慌气短6年,晕倒后4小时于1997年9月13日入院。每次发作无诱因,持续10～30分钟。近1年来频发,ECG:广泛ST-T改变,近2年内3次住院治疗,均诊断为病毒性心肌炎。本次入院前4小时突然晕倒,大汗淋漓,咯大量粉红色泡沫痰,BP 41/30mmHg(1mmHg=0.133kPa),在院外用大量氟美松及升压药,仍无好转,转入我院。查T 37.2℃,P 140次/分,R 20次/分,BP 79/52mmHg。意识清,全身湿冷,面色苍白,双瞳孔直径1.0mm,双肺满布湿啰音。心脏无杂音,心律齐,心率140次/分。腹无包块,肝脾未触及,下肢无水肿。血常规:WBC 172×10~9/L,淋巴0.20,分叶
Example 1 Female, 27 years old. The paroxysmal precordial area was depressed, palpitation and shortness of breath for 6 years, and 4 hours after fainting, she was admitted to hospital on September 13, 1997. There was no incentive for each episode and lasted 10 to 30 minutes. In the past 1 year, ECG: extensive ST-T changes, 3 hospitalizations in the past 2 years, all diagnosed as viral myocarditis. 4 hours before admission, she suddenly fainted, sweated, and had a lot of pink foam, BP 41/30mmHg (1mmHg=0.133kPa). There was still a lot of flumethasone and vasopressors outside the hospital. Our hospital. Check T 37.2°C, P 140 beats/min, R 20 beats/min, BP 79/52mmHg. Consciousness was clear, the body was clammy, pale, with a double pupil diameter of 1.0 mm, and wet lung sounds on both lungs. The heart has no noise, heart rate is equal, heart rate is 140 beats/min. There was no mass in the abdomen, the liver and spleen were not touched, and the lower extremities had no swelling. Blood routine: WBC 172×10~9/L, Lymphoid 0.20, split leaf