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患者女,52岁,因反复心悸、气促、浮肿一年余,症状加重半个月于1989年8月17日入院。查体:体温36.5℃,脉率104次,呼吸24次,血压16/9kPa。营养情况较差,体重37公斤。两肺(-)。心律齐,闻及S_3、P_2稍亢、心尖区2°～3°/6°sm 及轻度舒张期隆隆样杂音。肝肋下1 cm,面部、下肢轻度浮肿。Hb 9.5g/L,WBC 8.9×10~9/L、N 0.6,L 0.4。尿常规:蛋白++～+++,24小时尿蛋白定量1.2g,尿素氮7.0mmol/L,肌酐150mmol/L。肝功能正常。血甘油三酯2.0mmol/L,胆固醇4.4mmol/L。血沉28mm/h,抗“O”<500单位。心电图、窦性心动过速,肢联低电压、Tv_(3-5)低平。胸片:心影增大,考虑为心
Female patient, 52 years old, due to repeated palpitations, shortness of breath, edema more than a year, the symptoms aggravated two weeks in August 17, 1989 admission. Physical examination: body temperature 36.5 ℃, pulse rate 104 times, breathing 24 times, blood pressure 16 / 9kPa. Poor nutrition, weight 37 kg. Both lungs (-). Qi rhythm, smell and S_3, P_2 a little hyperactive, apical 2 ° ~ 3 ° / 6 ° sm and mild diastolic rumbling like noise. Liver ribs 1 cm, facial, lower extremity mild edema. Hb 9.5 g / L, WBC 8.9 × 10 ~ 9 / L, N 0.6, L 0.4. Urine routine: protein ++ ~ +++, quantitative urinary protein 24 hours 1.2g, urea nitrogen 7.0mmol / L, creatinine 150mmol / L. Liver function is normal. Blood triglyceride 2.0mmol / L, cholesterol 4.4mmol / L. ESR 28mm / h, anti-“O” <500 units. Electrocardiogram, sinus tachycardia, low limb voltage, Tv_ (3-5) low level. X-ray: increased heart shadow, consider the heart