男性,52岁。因腰围逐渐增大,下肢水肿入院。病人有阵发性夜间呼吸困难,端坐呼吸,劳力性呼吸困难。间断利尿剂治疗可减轻水肿,呼吸困难减轻,无家族结核病史或心脏病史。10年前因酗酒发生汽车事故股骨骨折,不记得胸部有无外伤。体格检查:生命征:脉搏80次/min,血压90/70 mmHg,颈静 Male, 52 years old. Gradually increased due to waist, lower extremity edema admitted. Patients have paroxysmal nocturnal dyspnea, sitting and breathing, exertional dyspnea. Intermittent diuretic therapy can reduce edema, reduced breathing difficulties, no history of family history of tuberculosis or heart disease. 10 years ago due to alcoholism car accident femoral fracture, do not remember the chest with or without trauma. Physical examination: vital signs: pulse 80 beats / min, blood pressure 90/70 mmHg, jingjing