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患者,男,60岁,周身无力,劳累后出现心悸,气短10个月,近2个月加重,不能平卧,有时心前区压迫感,伴有少尿和浮肿,于1985年12月3日入院,检查:T37.3℃,P88次/分,BP110/90mmHg,端坐呼吸,颈静脉怒张,左侧胸膨满,双肺第四肋以下叩浊,语颤减弱,双肺均闻及干湿罗音,心界向左右扩大,心率88次/分,律整,心音纯,胸腹壁浮肿,肝肋下4.0cm,剑下7.0cm,表面光滑,Ⅱ度硬,有触痛,双下肢及阴囊重度浮肿。尿常规:蛋白(+),白细胞4—6/H.P,红细
Patients, male, 60 years old, whole body weakness, palpitations after exertion, shortness of breath 10 months, aggravating in recent 2 months, can not lie down, sometimes pressure in front of area, accompanied by oliguria and edema, in December 1985 December 3 Day admission, examination: T37.3 ℃, P88 beats / min, BP110 / 90mmHg, sitting breathing, jugular vein engorgement, left chest bulging, Smell and wet rales, the heart to the left and right to expand, the heart rate of 88 beats / min, law, heart sound pure, thoracoabdominal wall edema, hepatic ribs 4.0cm, 7.0cm under the sword, the surface is smooth, Ⅱ degree hard, tenderness , Double lower extremities and scrotal severe edema. Urine: protein (+), white blood cells 4-6 / H.P, red fine