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患者,男,22岁,1980年6月14日入院,自幼身体健康。1966年(8岁时)夏被摩托车撞伤右胸部,穿破胸壁,昏迷。经某院抢救痊愈。出院时医生告知“心脏受到损伤”。此后常头晕、乏力,跑步气喘,活动受限。1977年2月以来,反复心慌、气急、浮肿。曾数次住院按心力衰竭治疗而好转。双亲健在,弟妹均体健。体检:慢性病容,自动体位,血压105/70mmHg,呼吸20次/分。无明显紫绀。颈静脉怒张。胸骨左缘较隆起,心前区搏动增
Patient, male, 22 years old, admitted to hospital on June 14, 1980, and was physically healthy. 1966 (8 years old) was hit by a motorcycle in the summer summer chest, piercing the chest wall, coma. Rescued by a hospital healed. At discharge, the doctor told “the heart was damaged.” Since then often dizzy, fatigue, running asthma, limited activities. Since February 1977, repeated palpitation, shortness of breath, edema. Had several hospitalizations and improvement of heart failure treatment. Parents are healthy, siblings are healthy. Physical examination: Chronic disease, automatic position, blood pressure 105 / 70mmHg, breathing 20 beats / min. No obvious cyanosis. Jugular vein engorgement. Sternal left edge of the more uplift, beats by dre, heart area increased