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男患,59岁,干部。心前区阵痛,呼吸困难伴双下肢水肿3天,于1988—03—19中午急诊入院。查体:体温36.7℃,脉搏118次/min,呼吸22次/min,血压24.0/13.3kPa,急性病容,表情淡漠,口唇发绀,颈静脉怒张,四肢末梢湿冷。胸廓略呈桶状,两肺呼吸音粗糙,可闻及散在性干、湿罗音,尤以双肺底为著。心脏:心界向左扩大,心率118次/min,律规则,心音弱。肝大,肋弓下2.0cm,双下肢皮肤轻度水肿。血常
Male suffering, 59 years old, cadre. Anterior precordial pain, dyspnea with bilateral lower extremity edema for 3 days, at noon 1988-03-19 emergency admission. Examination: body temperature 36.7 ℃, pulse 118 beats / min, breathing 22 beats / min, blood pressure 24.0 / 13.3kPa, acute disease, apathy, lips cyanosis, jugular vein engorgement, extremities peripheral cold. Thorax slightly barrel-shaped, rough breathing sounds of both lungs, can be heard scattered and dry, wet rales, especially for the lungs at the end. Heart: heart to the left to expand, the heart rate 118 times / min, law rules, weak heart sounds. Large liver, rib bow 2.0cm, mild lower extremity skin edema. Blood often