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患者,女,51岁,住院号238795,因慢性咳喘15年,心慌气短,周身浮肿一周,于1984年12月12日住院。查体:体温36.2℃,脉搏110次,呼吸27次,血压130/70mmHg,神清合作,口唇轻度发绀,颈静脉轻度怒张,胸呈桶状,叩诊过清音,双肺少许干湿性罗音,心界不大,心率110次,律齐,心脏无杂音,肝肋下3cm,剑下4.5cm,质中等硬度,有压痛,肝颈静脉逆流征阳性,脾未触及,双下肢轻度指凹性浮肿。胸片及心电图符合肺心病。诊断:慢性气管炎、阻塞性肺气肿、肺原性心脏病、慢性右心功能不全。住院后输能量合剂前,作细胞色素丙皮试阴性,皮试
Patient, female, 51 years old, hospital number 238795, due to chronic cough and asthma for 15 years, palpitation shortness, whole body edema week, December 12, 1984 hospitalization. Examination: body temperature 36.2 ℃, pulse 110 times, breathing 27 times, blood pressure 130 / 70mmHg, Shen Qing cooperation, lips mild cyanosis, mild jugular vein engorgement, chest barrel, percussion over the voiceless, a little dry and wet lungs Sexual rales, the heart is not heart, the heart rate 110 times, law Qi, heart no noise, liver ribs 3cm, sword 4.5cm, medium hardness, tenderness, liver jugular vein reflux positive levy, spleen not touched, Mild concave refers to edema. Chest and ECG consistent with pulmonary heart disease. Diagnosis: Chronic bronchitis, obstructive pulmonary emphysema, pulmonary heart disease, chronic right heart failure. After hospital delivery of energy mixture before, for cytochrome c dermatitis negative, skin test