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患者男性,57岁。慢性咳嗽30多年,心悸、气促、不能平卧伴下肢浮肿1年,全身无力、卧床不起3天于1987年9月8日第3次入院。体检:T36℃,P78次/min,R28次/min;BP50/30mmHg,半卧位,神志淡漠,气促,唇绀,四肢冰冷;颈静脉怒张,肺气肿征,两中下肺密集中细湿罗音;心音低,P_2>A_2,律齐,剑突下闻及收缩期杂音,肝右肋下4cm,剑突下8cm,双下肢轻度
Male patient, 57 years old. Chronic cough for more than 30 years, palpitations, shortness of breath, can not supine with lower extremity edema 1 year, generalized weakness, bedridden 3 days in September 8, 1987 3rd admission. Physical examination: T36 ℃, P78 times / min, R28 times / min; BP50 / 30mmHg, semi-recumbent, unconsciousness, shortness of breath, cyanosis, limbs cold; jugular vein engorgement, emphysema sign, In the fine wet rales; low heart sound, P_2> A_2, law Qi, xiphoid smell and systolic murmur, right hepatic ribs 4cm, xiphoid 8cm, lower extremity mild