超声心动图诊断幼年特发性关节炎心脏损害1例

发布时间：2018-01-06 12:36

本文关键词：超声心动图诊断幼年特发性关节炎心脏损害1例　出处：《中国临床医学影像杂志》2016年03期 　论文类型：期刊论文

【摘要】：正病例男,6岁10月,16月前因间断双侧髋、膝关节疼痛进行性加重3月于外院就诊,实验室检查提示血白细胞增高、血沉加快、血红蛋白较低、C反应蛋白强阳性、HLA-B27阳性。患儿体温较高,骨穿未见特征性血液病改变,双侧髋关节MR平扫提示关节腔少许积液。结合病史及临床表现,诊断为关节炎,幼年特发性关节炎可能性大,给予扶他林片口服,疼痛缓解后出院。4月前,因发现心脏杂音、恶心来我院就诊,查体:心前区可闻及舒张期杂音。辅助检查:血清c Tn T、c Tn I、CK及CK-MB正常,心电图检查正常。超声心动图
[Abstract]:The male patient was 6 years old, October, 16 months ago because of intermittent bilateral hip, knee joint pain progressive exacerbation in March in the hospital, laboratory examination showed that the blood white blood cell increased, the erythrocyte sedimentation rate accelerated, hemoglobin lower. C-reactive protein strongly positive and HLA-B27 positive. The temperature of the children was high, no characteristic hematologic changes were found in the bone puncture, and the bilateral hip joint Mr plain scan suggested a little fluid accumulation in the articular cavity, combined with the history of the disease and the clinical manifestations. Diagnosis of arthritis, juvenile idiopathic arthritis is more likely, given oral Fu Tarin tablet, pain relief after discharge. Before April, because of the discovery of cardiac murmur, nausea to our hospital. Body examination: the anterior cardiac area can be heard and diastolic murmur. Auxiliary examination: serum c Tn TnTnI CK and CK-MB are normal, electrocardiogram is normal. Echocardiography
【作者单位】：中国医科大学附属第一医院;
【分类号】：R540.45;R725.9
【正文快照】： WEI Zong-kai,YANG Jun,ZHANG Qian-zhong(The First Hospital of China Medical University,Shenyang 110001,China)病例男,6岁10月,16月前因间断双侧髋、膝关节疼痛进行性加重3月于外院就诊,实验室检查提示血白细胞增高、血沉加快、血红蛋白较低、C反应蛋白强阳性、HLA-B27

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