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例1:男,38岁。1980年患左下肢静脉曲张和深部静脉炎。同年出现心悸气短、咳嗽,胸痛。有晕厥史。外院检查诊断为心肌病。于1987年6月因再次晕厥发作入院。体检:血压16.2/10.4kPa,颈静脉怒张,心界扩大,心尖部可闻及第三心音,肺动脉瓣第二音亢进分裂。肝肋下2cm,双下肢有中度凹陷性水肿。心电图:右室肥厚。心脏X线片:心脏二尖瓣型,心胸比0.55。肺动脉段凸出,右室大。肺门动脉扩张,两肺纹理不对称。平片诊断可疑肺动脉血栓栓塞。肺
Example 1: Male, 38 years old. 1980 suffering from left lower extremity varicose veins and deep phlebitis. The same year palpitations shortness of breath, cough, chest pain. Have a history of syncope. Outside the hospital examination diagnosed as cardiomyopathy. In June 1987 due to episodes of syncope again admitted to hospital. Physical examination: blood pressure 16.2 / 10.4kPa, jugular vein engorgement, expansion of the heart, the apex can be heard and the third heart sound, the second pulmonary valve hyperthyroidism split. Liver ribs 2cm, both lower extremities with moderate depression edema. Electrocardiogram: Right ventricular hypertrophy. Cardiac X-ray: heart mitral valve type, cardiothoracic ratio 0.55. Pulmonary artery bulge, right ventricular large. Hilar artery dilatation, two lungs asymmetric texture. Plain diagnosis of suspected pulmonary thromboembolism. lung