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女,50岁。1976年起因心悸、气促,诊断为风湿性心脏病,二尖瓣狭窄及关闭不全。1979年5月10日经超声心动图证实。1986年7月3日晚12时,患者突感心悸气促加剧心前区剧痛,疼痛向左上肢放射,伴有大汗淋漓,四肢厥冷,发作后5分钟急诊入院。诊断为风湿性心脏病,二尖瓣狭窄并关闭不全,房颤合并急性心肌梗塞,心衰Ⅲ级。体查:心率120次、血压82/60,半卧位,四肢厥冷,唇及肢端紫绀,颈静脉怒张,两肺底可闻及干湿罗音;
Female, 50 years old. Cause of heart palpitations in 1976, shortness of breath, diagnosis of rheumatic heart disease, mitral stenosis and incomplete closure. May 10, 1979 confirmed by echocardiography. July 3, 1986 at 12 o’clock in the evening, the patient suddenly felt palpitations increased acute precordial pain, radiation to the left upper extremity, accompanied by sweating, extremities Jueleng, 5 minutes after the onset of emergency admission. Diagnosis of rheumatic heart disease, mitral stenosis and insufficiency, atrial fibrillation with acute myocardial infarction, heart failure Ⅲ grade. Physical examination: heart rate 120 times, blood pressure 82/60, semi-recumbent, extremities Jueleng, lips and acral cyanosis, jugular vein engorgement, both lungs can be heard and wet and dry rales;