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患者,男,47岁,有风心病史30年,1976年10月开始出现心房纤颤,先后用过多种药物维持窦性心律,平时心功能Ⅰ～Ⅱ级,1983年3月起改用碘酮0.1～0.2g/日,本次因心悸、气急、夜间不能平卧一周于1986年10月24日入院,入院时已停用碘酮1周。体检:T37℃,P104次,P22次,BP110/70,神志清,口唇稍紫绀,半卧位,颈Ⅴ不怒张,两下肺有湿性啰音?心率120次/分,呈房颤心律,心
The patient, male, 47 years old, had a history of rheumatic heart disease for 30 years. Atrial fibrillation began to occur in October 1976. It has used various drugs to maintain sinus rhythm, usually in grade I ~ II, and switched to use in March 1983 Iodine 0.1 ~ 0.2g / day, the heart palpitations, shortness of breath, not supine at night one week in October 24, 1986 admission, admission has been discontinued Iodine for 1 week. Physical examination: T37 ℃, P104 times, P22 times, BP110 / 70, conscious mind, lips slightly cyanotic, semi-recumbent, neck V not rage, both lung wet rales? Heart rate 120 beats / min was atrial fibrillation Heart rhythm, heart