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患者 男,34岁,农民,因劳累后心悸、气喘3个月就诊.患者3个月前感冒后出现心悸、气喘,无胸痛、咳嗽,能胜任一般体力活动,劳累时症状加重,休息后减轻,曾服药治疗无效.既往健康.查体:T 36.5℃,P 84次/分,R 21次/分,BP 17 3/5,3kPa(130/40mmHg),一般情况尚好,呼吸平稳,双肺未闻及于湿性啰音,心界向左扩大,心率84次/分,律不规整,偶闻及早搏,胸骨左缘3、4肋间可闻及双期杂音,以舒张期杂音为主.水冲脉及股动脉枪击音阳性.腹软,肝、脾不大,下肢无水
Patient male, 34 years old, farmer, 3 months after treatment due to palpitations and asthma. Patient developed palpitations, asthma, no chest pain, cough after colds 3 months ago, was able to perform general physical activity, aggravated during exertion, and relieved after rest. , had medication treatment is invalid. Past health. Physical examination: T 36.5 °C, P 84 beats / min, R 21 beats / min, BP 17 3/5, 3kPa (130/40mmHg), the general situation is still good, smooth breathing, lungs Unheard of wet voices, the heart has expanded to the left with a heart rate of 84 beats per minute. Irregularities, occasional and premature beats, and intercostal spaces between the 3rd and 4th intercostal space on the sternal border can be heard and diastolic murmurs dominate. Water pulse and femoral artery sounds positive. Soft abdomen, small liver and spleen, no water in the lower extremities