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患女,37岁,主因胸闷,气短、呼吸困难、干咳、腹胀十余天于1992年10月19日入院.查体:血压12/8.0kPa,脉搏114次/min,呼吸困难,皮肤发绀,颈静脉怒张、搏动,双肺下可闻及湿性罗音,心界向左下扩大,心律整齐呈奔马律,心率114次/min,心尖区及胸骨左缘Ⅱ、Ⅲ、Ⅳ肋间可闻及Ⅲ°SM,肝肋下4cm,剑下6cm,质中等,肝颈征(+),无腹水征,双下肢轻度浮肿.ECG:窦速、左室肥大、劳损,UCG:全心扩大,以左心室扩大
Female, 37 years old, mainly due to chest tightness, shortness of breath, difficulty breathing, dry cough, abdominal distension more than ten days were admitted on October 19, 1992. Physical examination: blood pressure 12 / 8.0kPa, pulse 114 beats / min, Jugular vein engorgement, beating, under the lungs can be heard and wet rales, the heart bound to the lower left, the rhythm of the heart was galloping, heart rate 114 beats / min, apical area and sternum left edge of Ⅱ, Ⅲ, Ⅳ intercostal Smell and Ⅲ ° SM, liver ribs under 4cm, 6cm under the sword, medium quality, liver neck sign (+), no signs of ascites, mild edema of both lower extremities.ECG: sinus rate, left ventricular hypertrophy, strain, UCG: Expand to expand the left ventricle