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例1 吴某,女,25岁,因咳嗽、心慌、胸闷、气短不能平卧20天入院。查体:体温36.5℃。脉搏160,血压100/60,半卧位,颈静脉怒张,心尖搏动在第五肋间锁骨中线外1.5cm,双肺阴性,心率160,律整齐,有舒张期奔马律,无杂音,肝在肋缘下1.5cm质软,压痛明显,肝颈征阳性,双下肢轻度浮肿,血沉,抗“O”和血清钾均在正常范围。胸透提示:心脏呈普遍性扩大,心电图示:室上性心动过速(心室
Example 1 Wu, female, 25 years old, due to cough, palpitation, chest tightness, shortness of breath can not be lying 20 days admission. Physical examination: body temperature 36.5 ℃. Pulse 160, blood pressure 100/60, semi-recumbent, jugular vein engorgement, apical beating in the intercostal midclavicular midline 1.5cm, lungs negative, heart rate 160, law and order, diastolic gallop, no noise, 1.5cm in the liver under the rib margin soft, tenderness, positive liver neck sign, mild swelling of both lower extremities, erythrocyte sedimentation rate, anti “O” and serum potassium are in the normal range. Thoracic Hint: The heart was generally enlarged, ECG showed: supraventricular tachycardia (ventricular