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例1 患者,女,62岁,农民,有慢支炎病史3年加重伴心悸、气促5小时入院,查体:P92次/分,RP21.5/13.5kP_a,半坐卧位,轻度缺氧征,双侧肺气肿征,双下肺有小水泡音,心界向左扩大,心率92次/分,律整,心尖区闻及Ⅲ/ⅥSM,肝、脾未触及,双下肢无浮肿.辅助检查:血K~+5.4mmol/L,心电图:窦性心动过速,左心室高电压,心肌劳累;以及胸片、超声心动图检查诊断为:①慢支炎并感染;②风心病、
Example 1 Patient, female, 62 years old, farmer, having a history of chronic myelopathy 3 years aggravated with palpitation, 5 hours shortness of breath admitted to hospital, physical examination: P92 / min, RP21.5 / 13.5kP_a, Hypoxia sign, bilateral emphysema sign, double lower lung a small blisters sound, left heart to expand heart rate, heart rate 92 beats / min, rhythm, apex area smell and Ⅲ / Ⅵ SM, liver and spleen not touched, No edema. Auxiliary examination: blood K ~ +5.4 mmol / L, ECG: sinus tachycardia, left ventricular high voltage, myocardial fatigue; and chest X-ray, echocardiography diagnosis: ① chronic bronchitis and infection; ② Rheumatic heart disease,