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病历摘要男性,38岁,教师。因心悸、胸闷两天就诊。发病前12天有咳嗽、流涕、肌肉酸痛史3天。以往身体健康。体检:一般情况好,血压140/80,心率92,10—12次/min 早搏,间歇呈三联律,心尖区第一音低钝,各瓣膜区未闻杂音,两肺呼吸音清晰,余未见异常。化验:WBC 12.3×10~9/L,N 78%,L 23%;粪、尿、肝肾功能、血沉、酶谱、血清生化、摄碘试验、T_3、T_4、血脂均正常。特殊检查:心电图示频发房性早搏,短
Medical summary Male, 38 years old, teacher. Due to heart palpitations, chest tightness two days treatment. 12 days before the onset of cough, runny nose, muscle soreness for 3 days. In the past, good health. Physical examination: the general situation is good, blood pressure 140/80, heart rate 92,10-12 times / min premature beats, intermittent was triple law, the first sound of the apex of low blunt, the valve area did not smell noise, clear breath sounds of both lungs, Yu Wei See abnormalities. Laboratory: WBC 12.3 × 10 ~ 9 / L, N 78%, L 23%; feces, urine, liver and kidney function, erythrocyte sedimentation rate, zymogram, serum biochemical, iodine intake test, T_3, T_4, blood lipids were normal. Special inspection: frequent occurrence of atrial premature beats, short