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例1:男患,70岁。住院号:2523。因左侧肢体失灵1天,以“缺血性脑血管病、风心病?”入院。查体:除左上、下肢肌力均为Ⅲ级外,还见脉压增大(29/9.31kPa)、水冲脉、毛细血管搏动。心界向左下扩大,心尖搏动呈抬举性。主动脉瓣第1听诊区闻及响亮、粗糙的叹气样舒张期杂音,向心尖传导,同时沿胸骨右缘向下传导。A_2亢进、呈金属音。心尖部闻及短促的隆隆样舒张期杂音,第1心音不亢进,无开
Example 1: Male suffering, 70 years old. Hospital number: 2523. Due to the left side of the body failure for 1 day, with “ischemic cerebrovascular disease, rheumatic disease?” Admission. Physical examination: In addition to left upper and lower extremity muscle strength are Ⅲ, but also see increased pulse pressure (29 / 9.31kPa), water pulse pulse, capillary pulsation. Heart to the left to expand, apical beating was lifting. Aortic valve auscultation area heard loud, rough sigh diastolic murmur, conduction to the apical, while down the right side of the sternal conduction. A_2 hyperthyroidism, was metal tone. Apex spikes and short rumble-like diastolic noise, the first heart sound is not hyperthyroidism, no open