患者女,66岁。7天前受凉后感冒不适,近2天来出现心悸、气短并逐渐加重,致不能平卧,干咳、胸痛,心电图示快速型心房颤动,以冠心病、左心功能不全收入院。查体:T36℃,P136次/min,R24次/min,Bp20/11kPa。面、唇轻度紫绀,两肺水泡音,以左下肺明显,心率136次/min,心音有力,律齐,未闻及病理性杂音;肝脾未及, Female patient, 66 years old. 7 days ago, cold and flu after the cold discomfort, palpitations, shortness of breath and gradually increased in the past 2 days, resulting in supine, dry cough, chest pain, ECG rapid atrial fibrillation, coronary heart disease, left ventricular dysfunction admission hospital. Physical examination: T36 ℃, P136 times / min, R24 times / min, Bp20 / 11kPa. Face, lips mild cyanosis, two lung blisters sound to the left lower lung significantly, heart rate 136 times / min, strong heart sound, law Qi, no smell and pathological murmur; liver and spleen not,