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1病例报告患者男,80岁。因反复咳痰气喘10余年,加重5天入院。患高血压病10年余,长期服用缬沙坦胶囊治疗,平素血压控制尚可。查体:体温37.5℃,脉搏120/min,呼吸22次/min,血压142/80mmHg。桶状胸,肋间隙增宽,胸骨无压痛,两侧语颤减弱,无胸膜摩擦感,两肺听诊呼吸音粗,双肺闻及湿性啰音、哮鸣音,呼气相延长。心前区无隆起,心界不大,听诊心音遥远感,各
1 case report Male patient, 80 years old. Due to repeated sputum asthma more than 10 years, increased 5 days admission. More than 10 years suffering from hypertension, long-term use of valsartan capsule treatment, usually blood pressure control is acceptable. Physical examination: body temperature 37.5 ℃, pulse 120 / min, breathing 22 times / min, blood pressure 142 / 80mmHg. Barreled chest, intercostal space widened, sternum without tenderness, both sides of the tremor weakening, no pleural friction, lung auscultation breath sounds crude, lung smelling wet rales, wheeze, expiratory phase prolonged. Pre-anterior zone without uplift, heart is not big, auscultation heart sound far-flu, all