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心血管疾病合并声音嘶哑已为临床所注意,报告3例于下。例1,男性,76岁。患者主诉声音嘶哑5个月。既往有慢性支气管炎及高血压病史。查体:BP140/100mmHg。口周、甲床轻度发绀。咽喉部粘膜不充血,左侧声带固定于旁正中位。颈静脉怒张。甲状腺不大。桶状胸,叩诊过轻音,两肺呼吸音较低,有散在干鸣。心音低远,心率48次/分,律整,心尖部Ⅱ～Ⅲ°收缩期杂音,肺动脉瓣第二音亢进。肝于右肋缘下2 cm处可触及,有触痛,肝静脉返流征可疑。双下肢
Hyperalging cardiovascular disease has been clinically noted, 3 cases reported in the next. Example 1, male, 76 years old. Patients complained of hoarse voice for 5 months. Past history of chronic bronchitis and hypertension. Physical examination: BP140 / 100mmHg. Perioral, nail bed mild cyanosis. Throat mucosa is not hyperemic, the left vocal cord fixed to the next median. Jugular vein engorgement. Thyroid is not big. Bucket-shaped chest, percussion light tone, lower lung breath sounds, scattered dry Ming. Heart sounds low, heart rate 48 beats / min, law, apex Ⅱ ~ Ⅲ ° systolic murmur, the second pulmonary hyperthyroidism. Liver 2 cm at the right rib margin can be touched, tenderness, hepatic venous reflux sign suspicious. Lower limbs