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患者女性,50岁,住院号272796。因疲乏无力、心悸气促20天,胸片发现多个圆形结节,心影正常于1983年11月9日入院。体查:T36.3℃、脉搏80次/min、呼吸20次/min、血压15.96/10.64kPa。胸骨左缘2、3肋间可闻及Ⅲ级收缩期杂音,向左锁骨上传导。双下肢轻度凹陷性水肿。血色素、红细胞计数、红细胞压积、白细胞计数及分类、血小板计数均正常。尿蛋白阳性,沉渣中有少量白细胞。入院时心电图低电压倾向,1月后复查见
Female patient, 50 years old, hospital number 272796. Due to fatigue, weakness, palpitations and shortness of breath, 20 days, multiple circular nodules were found on the chest radiograph. The heart shadow was admitted to hospital on November 9, 1983. Physical examination: T36.3°C, pulse 80/min, respiration 20 times/min, blood pressure 15.96/10.64kPa. Left sternal borders 2, 3 intercostal can be heard and III systolic murmur, conduction to the left clavicle. Mild depressed edema in both lower limbs. Hemoglobin, red blood cell count, hematocrit, white blood cell count and classification, platelet count were normal. Urine protein is positive and there is a small amount of white blood cells in the sediment. Electrocardiographic low voltage tendencies on admission, reviewed after January