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本文报告2例冠心病房颤患者,因拍敲背部引发肺梗死。 一、临床资料 例1,男,81岁。患冠心病20余年,出现房颤10余年。入院前7天因受凉引起咳嗽,咳白色稠痰。入院当天家属为其拍背以利痰咳出时,突发右侧胸痛,气短,干咳,少量出汗。查体:体温36.8℃,呼吸24次/分,血压21/11 kPa。唇红,两肺叩诊呈清间,右肺呼吸音减弱,无干湿罗音。心界不扩大,心率90次/分,房颤律,心尖部有Ⅱ级收缩期吹风样杂音,P_2
This article reports 2 patients with coronary heart disease in patients with atrial fibrillation, due to beating the back caused by pulmonary infarction. First, the clinical data example 1, male, 81 years old. Coronary heart disease more than 20 years, more than 10 years of atrial fibrillation. 7 days before admission due to cold caused by cough, cough thick white sputum. On the day of admission, their relatives beat their backs to sputum to cough up. Sudden right chest pain, shortness of breath, dry cough and a small amount of sweating. Physical examination: body temperature 36.8 ℃, breathing 24 beats / min, blood pressure 21/11 kPa. Lip red, percussion lung was clear between the lungs, right lung breath sounds weakened, no wet and dry rales. Heart does not expand, heart rate 90 beats / min, atrial fibrillation law, apical systolic stage Ⅱ blowing noise, P_2