论文部分内容阅读
患男,33岁。因心慌、胸闷、气短、乏力1月,加重伴双下肢浮肿10d入院。查体:T36℃,P80次/min,R18次/min,BP17/5kPa。神志清,自动体位,口唇无紫绀,颈静脉充盈,双肺呼吸音清晰,无干、湿性罗音。心尖搏动弥散,心界向双侧扩大,心律整,心尖部可闻及收缩期杂音,胸骨左缘第4、5肋间可闻及连续性杂音,强度约5级,向剑突下传导,并扪及震颤,P_2亢进。桡动脉可触及水冲脉,股动脉可闻及枪击音。肝剑下3.5cm,肝
Suffering from a man, 33 years old. Due to palpitation, chest tightness, shortness of breath and lack of strength in January, he was admitted to the hospital with edema of both lower limbs for 10 days. Physical examination: T36°C, P80 beats/min, R18 beats/min, BP17/5kPa. Clear mind, automatic posture, lips without purpura, jugular vein filling, breath sounds clear lungs, no dry, wet rales. The apex beats, the heart border expands to both sides, the heart rhythm swells, the systolic murmur can be heard at the apex, and the fourth and fifth intercostal spaces on the left sternal border can be heard and continuous murmur. The intensity is about 5, and it is conducted under the xiphoid process. And accompanied by tremors, P_2 hyperactivity. The iliac arteries can touch the water pulse, and the femoral arteries can smell and shoot sounds. Liver sword 3.5cm, liver