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病历摘要患者女性,62岁,1978年9月23日死亡。从53岁起已有“心脏杂音”及“心脏扩大”,但无症状。至60岁才有劳累性气促及脚肿。体检发现颈静脉扩张,肺底啰音,心脏扩大,有第三及第四心音,心尖有收缩全期杂音;胸骨左缘亦有收缩期杂音,吸气时加强。肝可触及,两腿浮肿。
Summary of patient history Female patient, aged 62, died September 23, 1978. There have been “heart murmur” and “heart enlargement” since the age of 53 but asymptomatic. Until the age of 60 have exertiveness and swollen feet. Physical examination found jugular vein dilatation, pulmonary auscultation, heart enlargement, third and fourth heart sound, apical systolic murmur; systolic murmur also sternal left edge, inspiratory strengthen. Liver can be touched, swollen legs.