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男,74岁。患者有慢性哮喘性支气管炎、阻塞性肺气肿病史10余年,脑动脉硬化症病史约5年,近1年病情稳定。入院当日中午坐在椅上休息,转身时突然意识不清,呼吸困难,右侧上下肢体活动完全失灵。1h后送到本院。查体:神志恍惚,言语不清,呼吸急促,节律规则。口唇及四肢末端紫绀明显。口角右偏,左侧鼻唇沟变浅,伸舌向右偏,颈软,气管稍向右侧偏移。桶状胸。左肺叩诊鼓音,呼吸音听不到。剑突下心尖搏动抬
Male, 74 years old. Patients with chronic asthmatic bronchitis, obstructive pulmonary disease history of more than 10 years, history of cerebral arteriosclerosis about 5 years, nearly 1 years in stable condition. Sitting on a chair at noon on the day of admission to rest, suddenly turned unconscious, dyspnea, right upper and lower body movements completely failed. 1h after the hospital. Physical examination: trance, speechless, shortness of breath, rhythm rules. The end of the lips and limbs cyanosis obvious. Mouth right angle, the left nasolabial fissure shallow, tongue extension to the right, neck soft, trachea slightly to the right offset. Barrel chest. Left lung percussion drum sounds, breath sounds can not hear. Xiphoid apex beating lift