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患者男,30岁,因风心病二尖瓣狭窄于1982年行二尖瓣分离术。术前心房纤颤持续二年余,术后房颤未消失。1983年4月7日再次入院。入院时一般情况良好,无心衰表现。心尖第一心音增强,仍可闻及雷鸣样舒张期杂音、肺动脉瓣区第二心音亢进,心律绝对不整,心率140次/分,脉率80次/分。两肺无罗音。肝剑下1cm,下肢不肿,血压
Male, 30 years old, had mitral valve stenosis caused by rheumatic mitral stenosis in 1982. Preoperative atrial fibrillation continued more than two years after the atrial fibrillation has not disappeared. April 7, 1983 re-admitted to hospital. Admission is generally good, no heart failure performance. Apical first heart sound enhancement, can still be heard and thunder-like diastolic murmur, pulmonary heart valve second heart sound hyperactivity, heart rate is not complete, heart rate 140 beats / min, pulse rate 80 beats / min. Two lungs without rales. Under the liver sword 1cm, lower extremity is not swollen, blood pressure