患者,女,55岁。因纳差、乏力1个月,心悸、气喘、胸闷10天,1990年3月20日来院急诊,既往健康,无家族史。体检:T36.2℃,P108次/分,P24次/分,BP17.2/12kPa,表情淡漠,行动迟缓,颈静脉充盈,呼吸音粗糙,心浊音界双侧扩大,心音低钝遥远,心率108次/分,律齐,各瓣膜听诊区未闻及病理性杂音。肝右肋下4cm,剑突下6.5cm,质中等硬,轻压痛,肝颈静脉回流征阳性。下肢轻度水肿。X线胸片示:心脏向两侧扩大,心膈接触面延长,右心缘向左隆起,心脏呈烧瓶样改变。 Patient, female, 55 years old. Due to anorexia, fatigue 1 month, palpitations, asthma, chest tightness 10 days, March 20, 1990 hospital emergency, past health, no family history. Physical examination: T36.2 ℃, P108 beats / min, P24 beats / min, BP17.2 / 12kPa, apathy, slow action, filling of the jugular vein, rough breathing sounds, 108 beats / min, law Qi, the valve auscultation area is not known and pathological murmur. Liver right rib 4cm, xiphoid 6.5cm, medium hard, light tenderness, liver jugular vein reflux positive. Lower extremity mild edema. X-ray showed: the heart to both sides to expand the contact surface of the diaphragmatic prolongation, right heart edge uplift to the left, the heart was flask-like change.