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男患,68岁,有陈旧心梗史,因突然重度呼吸困难、胸闷、眩晕、头昏及呕吐入院。发病前未曾,服用任何药物。检查除呼吸困难外还有紫绀、出汗。收缩压7.98kPa,脉搏85次/分,体温36 2℃;双肺野可闻细捻发音。胸片显示肺水肿,ECG 示窦性心律,伴有广泛 ST 段下移。PO_2 6.7kPa;PCO_23.5kPa。pH7.33,超声心动图显示左室收缩良好,但有低血容量征象。立即静滴白蛋白和盐水,中心
Male, 68 years old, with an old myocardial infarction history, due to sudden severe dyspnea, chest tightness, dizziness, dizziness and vomiting. Before the onset of the disease, taking any medication. Except for breathing difficulties, there are cyanosis, sweating. Systolic blood pressure 7.98kPa, pulse 85 beats / min, body temperature 36 2 ℃; lung field can be heard fine twist pronunciation. Chest radiograph showed pulmonary edema, ECG showed sinus rhythm, accompanied by extensive ST segment down. PO_2 6.7kPa; PCO_23.5kPa. pH 7.33, echocardiography showed good left ventricular systole, but signs of hypovolemia. Immediate intravenous albumin and saline, center