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报道:女,6岁。不规则发热5个月时伴鼻衄,关节肿痛,体检:T37.6～38.5℃,贫血貌,咽充血。扁桃体Ⅱ,心肺(一),肝脾不肿大,神经系统(一)。血Hb55～39g/L,wbc3.8～16.4×10~9/L,BPC13×10~9/L,ESR123mm/h,肝肾功能正常。血培养未见细菌生长,ASO500~(?),二便常规正常。胸片示心影略增大。心电图示T波改变。拟诊“急性风湿热”。先后应用青霉素、强的松、阿斯匹林及昆明山海棠等治疗2月无效。继续应用强的松1月后出现肝肿大及腹水。经多次B超、骨盆平片、CT、骨髓活
Reported: Female, 6 years old. Irregular fever 5 months when accompanied by epistaxis, joint swelling and pain, physical examination: T37.6 ~ 38.5 ℃, anemia appearance, pharyngeal congestion. Tonsils Ⅱ, heart and lung (a), liver and spleen is not enlarged, the nervous system (a). Blood Hb55 ~ 39g / L, wbc3.8 ~ 16.4 × 10 ~ 9 / L, BPC13 × 10 ~ 9 / L, ESR123mm / h, liver and kidney function was normal. No bacterial growth of blood culture, ASO500 ~ (?), Second, then normal. Chest X-ray showed slightly increased. T wave ECG changes. To be diagnosed “acute rheumatic fever.” Has applied penicillin, prednisone, aspirin and Kunming Begonia treatment invalid in February. Continue to apply prednisone after January hepatomegaly and ascites. After several B-ultrasound, pelvic plain film, CT, marrow live