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病历摘要白××,男,60岁,干部,病历号18573。因慢性咳嗽、咳痰30~+年,伴气短、气喘10~+年,心悸、浮肿3年,近一周咳喘加剧,不能平卧,服氨茶碱、复方新诺明无好转于1982年7月26日入院。体检发育正常,营养中等。半卧位,急性痛苦病容。口唇、指甲重度紫绀,舌质紫暗,苔薄白稍腻,脉滑。咽红,颈静脉怒张,呼吸稍促,桶状胸,两肺叩诊过清音,呼吸音稍低,可闻及中、小水泡音。心率98次/分,律齐,心音遥远,P_2>A_2。腹部
Medical record summary White × ×, male, 60 years old, cadres, medical record number 18573. Due to chronic cough, sputum 30 ~ + years, with shortness of breath, asthma 10 ~ + years, palpitations, edema 3 years, nearly a week cough and asthma exacerbated, can not supine, taking aminophylline, no improvement in cotrimoxazole in 1982 July 26 admission. Physical examination is normal, nutrition is medium. Semi-recumbent position, acute pain and sickness. Lips, nails, severe cyanosis, dark purple tongue, thin white fur, slippery pulse. Throat, jugular vein engorgement, breathing a little urgently, barrel chest, percussion lungs two voices, breath sounds slightly lower, can be heard and in small blisters sound. Heart rate 98 beats / min, law Qi, distant heart sounds, P_2> A_2. abdomen