论文部分内容阅读
病史摘要 患者男,56岁,已婚,干部。因发热、心悸、气急不能平卧四月余,于1985年9月4日入院。患者于1959年因劳累后胸闷、气急、咳嗽、咯血曾在外院诊断为风湿性心脏病(简称风心病);二尖辨狭窄。1983年出现心房颤动,用乙胺碘呋酮治疗后转为窦性心律,此后长期服用维持量。1984年11月胸部透视发现左侧胸腔积液,当时无自觉症状,诊断不明。入院前四月余突然出现畏寒发热,体温38.5℃,以后体
Summary of medical history Male patient, 56 years old, married, cadre. Due to fever, heart palpitations, shortness of breath can not lie more than four months, on September 4, 1985 admission. Patients in 1959 due to fatigue after chest tightness, shortness of breath, cough, hemoptysis had been diagnosed in the outer hospital rheumatic heart disease (referred to as rheumatic heart disease); two pointed stenosis. Atrial fibrillation occurred in 1983, after treatment with amiodarone to sinus rhythm, then long-term maintenance dose. 1984 November chest fluoroscopy found on the left pleural effusion, then no symptoms, the diagnosis is unknown. More than four months before admission, a sudden onset of chills and fever, body temperature 38.5 ℃, after the body