1基本资料患者,女性,78岁,主诉活动后气促3年,加重5日。患者近3年,无诱因,反复发作静息时呼吸困难,经心电图、心脏B超等检测,诊断“冠心病,房颤、心衰、高血压”。近5日,无诱因,呼吸困难再次加重,静息可发作,夜间不能平卧,双下肢浮肿,精神、食纳、睡眠欠佳。查体:生命体征平稳,双肺湿罗音,心界向左扩 1 Basic information Patient, female, 78 years old, complained of shortness of breath activity after 3 years, increased on the 5th. Patient for nearly 3 years, no incentive, repeated episodes of dyspnea at rest, the ECG, heart B-test, diagnosis of “coronary heart disease, atrial fibrillation, heart failure, hypertension.” Nearly 5 days, no incentive, breathing difficulties again increased, rest can be attacked, not supine at night, both lower extremities edema, mental, food, poor sleep. Physical examination: stable vital signs, lung wet rales, heart to the left expansion