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患者男,37岁,住院号227011。1979年6月因持续性多汗、血压高、进行性消瘦4年,近一年出现视物模糊,指趾末端、耳边、鼻尖时红时白伴发凉、疼痛,近两月出现心悸、气促、不能平卧、双下肢浮肿入院。既往及家族史无特殊。血压150/130mmHg,脉搏134次/分,端坐呼吸,颜面苍白,肢体颤动,冷汗淋漓。颈静脉怒张,两肺底可闻中小水泡音,心界向两侧扩大,心尖部可闻及舒张早期奔马律,肝肋下3.0cm,剑下7.0cm,Ⅱ°硬,轻压疼。双下肢凹陷性浮肿。
Patient male, 37 years old, hospital number 227011. In June 1979 due to persistent hyperhidrosis, high blood pressure, progressive weight loss for 4 years, the past year appears blurred vision, toe ends, ears, nose and white when the red partner Feeling cold, pain, palpitation in the last two months, shortness of breath, can not lie down, double eyelid hospitalization. Past and family history is no special. Blood pressure 150 / 130mmHg, pulse 134 beats / min, sitting and breathing, pale face, limb fibrillation, cold sweat dripping. Jugular vein engorgement, two lungs can be heard in small and medium-sized blisters sound, the heart to both sides of the expansion, the apex can be heard and diastolic gallop, gallbladder ribs 3.0cm, swords 7.0cm, Ⅱ ° hard, light pressure pain . Depression of the lower limbs edema.