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由上述病历摘要看来,患者系青年女性,昔无心悸气促史,此次分娩后29分钟,实感胸闷气促、咳嗽,咯血性泡沫样痰,呼吸困难,出冷汗、烦躁不安。患者呈半坐位,呼吸迫促,唇及指端有紫绀、颈静脉稍充盈、两肺满布干湿罗音、心向左扩大,心率速,心尖区有奔马律,肝区有触痛,下肢不肿。经氧气吸入,皮下注射吗啡、鲁米那钠及静脉注射毒毛旋花子苷K和氨基茶硷后,症状明显好转。经1—2日后,呼吸困难明显减轻。咳嗽咯痰大为减少,心率及其大小恢复正常,血压正常,尿常规亦无异常,心电图显示有心肌弥漫性受累。
From the summary of the above medical records, the patient is a young woman with no palpitations and a history of gusting. After 29 minutes of this delivery, she feels chest tightness, shortness of breath, coughing, hemoptysis-like sputum, difficulty breathing, sweating, irritability. Patients were semi-sitting, forced breathing, lip and finger cyanosis, a slight filling of the jugular vein, lungs covered with wet and dry rales, heart to the left to expand, heart rate, apex area Benma law, liver tenderness Lower extremity is not swollen. After oxygen inhalation, subcutaneous injection of morphine, romine sodium and intravenous injection of venom spinosad K and aminophylline, the symptoms were significantly improved. After 1-2 days, dyspnea was significantly reduced. Cough phlegm greatly reduced, heart rate and its size returned to normal, normal blood pressure, no abnormalities in urine, ECG showed myocardial diffuse involvement.