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[例1]女,64岁。上腹部隐痛1年,常返酸嗳气,有时恶心不吐。半月前加重,频繁恶心呕吐,厌油食,伴发冷、发烧入院。入院时,体温38.7℃,经钡透及B超检查临床诊断慢性支气管炎,慢性胆囊炎,慢性胃炎。静脉补液,青霉素消炎及服乐胃片治疗。24日在输液过程中(7小时内已输入2500ml液体)下床解大便时突然出现心慌、气短、呼吸困难、大汗,无心前区痛,当即扶于床上。血压30/14kPa,呼吸50次/min,重病容,大汗淋漓,颜面轻度发绀,颈静脉不充盈,两肺呼吸音粗糙,满布干罗音,两肺底散在水泡音,心左界在第五肋间左锁骨中线
[Example 1] Female, 64 years old. Abdominal pain for 1 year, often sour, sometimes nausea and vomiting. Increased half a month ago, frequent nausea and vomiting, tired of oil, with cold, fever admitted to hospital. Admission, the body temperature 38.7 ℃, barium and B ultrasound examination of the clinical diagnosis of chronic bronchitis, chronic cholecystitis, chronic gastritis. Intravenous fluid, penicillin anti-inflammatory and service stomach tablets treatment. 24 in the infusion process (7 hours have been imported 2500ml liquid) bedtime solution to the stool suddenly appeared palpitation, shortness of breath, difficulty breathing, sweating, no pain in front of the heart, immediately help the bed. Blood pressure 30 / 14kPa, breathing 50 beats / min, seriously ill, sweating, facial cyanosis mild, jugular vein is not full, rough lung breath sounds, covered with dry rales, The fifth intercostal left subclavian midline