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教授:此例为左房粘液瘤并二尖瓣闭锁不全引起的肺水肿病人。藉此可探讨一下如何选用适宜的内科治疗。请报告病历。 实习医师:男,63岁。1986年5月,乘汽车途中自感心悸,继之呼吸困难,咯血水样痰,即下车就医,诊为左心衰竭,经吸氧和注射镇静剂后渐好转。此后劳累即犯病,有喘鸣,重时不能平卧,一直就诊为哮喘病。1周前受凉发热,并喘咳发作,在当地医院静滴庆大霉素和氨茶碱,滴速稍快,半小时后感胸闷、心悸喘咳,咯白泡沫带血痰,急症转来我院。
Professor: This patient is a patient with pulmonary edema caused by left atrial myxoma and incomplete mitral valve insufficiency. This can be used to explore how to choose the appropriate medical treatment. Please report medical records. Intern: Male, 63 years old. In May 1986, I was conscious of the car on my way, followed by difficulty in breathing, and bloody sputum. I immediately got out of the hospital and was diagnosed as having left heart failure. I got better after taking oxygen and sedation. Afterwards, he was ill and sick, had wheezing, and was unable to lie flat. He had been treated for asthma. One week ago, I felt fever, fever, and cough attack. I was given intravenous gentamicin and aminophylline intravenously at the local hospital. The drip rate was slightly faster. I felt chest tightness after half an hour, my heart was coughing and coughing, and my white foam was bloody. I was sent to me urgently. hospital.