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1 病例介绍 患者 男,25岁。入院前20天在购物时突感胸闷,憋气,全身乏力,在县医院诊断“心肌炎”,经治疗症状一度好转。入院前3天感觉气短加重,胸痛,不能平卧,剧烈咳嗽,痰中带血,于1998年9月30日入院。查体:神志清,可平卧。血压110/70mmHg。呼吸急促、表浅,30次/分,唇绀,颈静脉怒张。心率120次/分,律齐,心音低钝,闻及S_3奔马
1 case description Male patient, 25 years old. Twenty days prior to admission, the patient suddenly felt chest tightness, suffocation, malaise, and was diagnosed with “myocarditis” in the county hospital. The symptom was once improved. Feel shortness of breath 3 days before admission, chest pain, can not lie down, severe cough, bloody sputum, in 1998 September 30 admission. Physical examination: conscious, can be supine. Blood pressure 110 / 70mmHg. Shortness of breath, superficial, 30 beats / min, cyanosis, jugular vein engorgement. Heart rate 120 beats / min, law Qi, heart sound low blunt, smell and S_3 running horse