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1病例资料例1:患者史XX,女性,78岁,主因“咳嗽,气短半月,加重半夜间不能平卧三日”于2003年4月8日入院。入院查体,体温36。3℃,脉搏110次/分,呼吸22次/分,血压110/70mmHg;呈慢性病容,神志清,眼睑无浮肿,口唇黏膜无紫绀,颈静脉无怒张,胸廓对称无畸形,双肺叩诊呈清音,肺肝浊音界在右侧第五肋间锁中线处,双肺底可闻及细湿啰音,无干鸣音及胸膜摩擦音,
1 case data Example 1: The history of patients XX, female, 78 years old, mainly due to “cough, shortness of breath, aggravating the middle of the night can not lie three days” was admitted on April 8, 2003. Admission examination, body temperature 36.3 ℃, pulse 110 beats / min, breathing 22 beats / min, blood pressure 110 / 70mmHg; was chronic disease, clear consciousness, eyelid without edema, lips and mucosa without cyanosis, Symmetry without deformity, percussion was a clear voice of the lungs, dullness of the liver and liver in the right fifth intercostal lock line at the end of the lungs can be heard and fine wet rales, no dry sounds and pleural friction sound,