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双侧束支传导阻滞是心肌有弥漫性损害的表现,常迅速发展至完全性房室传导阻滞,部分发生阿-斯氏综合征而致命。因此,及时发现并积极治疗具有重要的临床意义。近来我院见到2例因风湿性心肌炎所致者,经用肾上腺皮质激素等治愈,现报告并讨论如下。例1,蒋某,女,25岁,住院号3370。因咽痛、发热、胸闷、心悸,伴头昏、四肢无力6天,于1979年10月31日入院。既往常咽痛,无关节疼痛史。体检:体温38.3℃,脉搏102次/分,血压110/70。急性病容,贫血外貌,巩膜皮肤无黄染,浅表淋巴结不大。咽部充血,两侧扁桃体Ⅰ度肿大。颈静脉不怒张,两侧甲状腺Ⅰ度肿大,无结节及杂音。
Bilateral bundle branch block is a manifestation of diffuse myocardial damage, often rapidly developed to complete atrioventricular block, part of the fatal Asarum syndrome. Therefore, timely detection and active treatment have important clinical significance. Recently in our hospital to see 2 cases due to rheumatic myocarditis caused by corticosteroids and other treatment, are reported and discussed below. Example 1, Jiang, female, 25 years old, hospital number 3370. Due to sore throat, fever, chest tightness, palpitations, with dizziness, limb weakness for 6 days, on October 31, 1979 admission. Past sore throat, joint pain history. Physical examination: body temperature 38.3 ℃, pulse 102 beats / min, blood pressure 110/70. Acute illness, anemia appearance, scleral skin without yellow dye, superficial lymph nodes is not large. Pharyngeal hyperemia, both sides of the tonsil degree enlargement. Jugular vein does not anger, I degree on both sides of the enlargement of the thyroid, no nodules and noise.