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副主任医师:本病例为慢性肺心病并发感染急性发作,现请实习医师报告病历。实习医师:患者女,50岁。因慢支20年,肺心病8年,神志恍惚2天,于1985年10月9日第三次入院。二十年来,患者经常咳嗽、咯痰、气短,并逐年加重。1984年1月17日曾因感冒后咳嗽、咯痰加剧,并发神志恍惚而第一次入院,当时患者有嗜睡、紫绀、颈静脉怒张、桶状胸、两肺散在水泡音、心率126次、肝肋下3厘米、质韧。初诊为慢支、慢阻肺、肺心病、肺性脑病、低渗脑病。经
Deputy Chief Physician: This case is an acute attack of chronic pulmonary heart disease complicated with infection, is now an interns report medical records. Intern: Female patient, 50 years old. Due to chronic bronchitis 20 years, pulmonary heart disease 8 years, trance 2 days, on October 9, 1985 the third admission. For two decades, patients often cough, expectoration, shortness of breath, and increased year by year. January 17, 1984 was due to a cold cough, expectoration aggravated, congenital trance and the first admission, when patients with lethargy, cyanosis, jugular vein engorgement, barrel chest, lungs scattered in the blisters, heart rate 126 , Liver ribs 3 cm, quality tough. Newly diagnosed as chronic bronchitis, chronic obstructive pulmonary disease, pulmonary heart disease, pulmonary encephalopathy, hypotonic encephalopathy. through