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自抗生素应用以来,化脓性心包炎患者早期毒血症状可不明显,如失去应有重视,易导致误诊误治。现报告一例如下:病历摘要李某,男,21岁。1983年12月27日入院。于四天前感发热、心前区痛,伴乏力、多汗、纳减,活动时心悸、气短,无咳嗽、咳痰。曾肌注青霉素等未见效。既往健康。体检:体温38.5℃,脉搏110次,血压100/80mmHg。神志清楚,热病容,皮肤无瘀点、疖肿和化脓灶,浅表淋巴结不大,扁桃腺不大,颈静脉无怒张。双肺未见异常。心界稍大,心率110次,律
Since the application of antibiotics, suppurative pericarditis patients with early signs of toxemia may not obvious, such as loss of attention, easily lead to misdiagnosis and mistreatment. Now report an example as follows: Medical record summary Lee, male, 21 years old. December 27, 1983 admission. Fever four days ago, precordial pain, with fatigue, sweating, satisfied, palpitations, shortness of breath, no cough, sputum. Penicillin, etc. had no effect. Past health. Physical examination: body temperature 38.5 ℃, pulse 110 times, blood pressure 100 / 80mmHg. Consciousness, fever, skin petechia, carbuncles and purulent lesions, superficial lymph nodes, tonsils, jugular vein without tension. No abnormal lungs. Heart slightly larger, heart rate 110 times, law