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病例报告李×,女,75岁,住院号370,555。心悸、气促不能平卧10天,1980年5月10日入院。10天前开始心悸、气促,进行性加重,夜端坐,伴咳嗽、无痰,无心前区疼痛,无发热,4天来少尿。有高血压史6年(数值不详)。无劳累时心前区疼痛。既往无心悸、气促、无慢性咳嗽史。体检: T37℃、p94次、R24次、BP110/70、端坐呼吸,鼻翼煽动,唇发绀、颈静脉无怒张。桶形胸、叩诊过清音,呼吸音弱,左肩胛线第七肋间以下有小水
Case report Li ×, female, 75 years old, hospitalization number 370,555. Heart palpitations, shortness of breath can not lie 10 days, May 10, 1980 admission. 10 days ago palpitations, shortness of breath, progressive increase in night sitting, with cough, no sputum, no pain in the anterior heart area, no fever, oliguria 4 days. Hypertensive history of 6 years (numerical unknown). Premorbid pain when tired. No previous palpitations, shortness of breath, no history of chronic cough. Physical examination: T37 ℃, p94 times, R24 times, BP110 / 70, sitting breathing, alar alar, lip cyanosis, jugular vein without anger. Drum-shaped chest, percussion over the voiceless, breath sounds weak, the left shoulder blade below the seventh intercostal space has a small water