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方××,女,29岁,已婚,农妇,洪湖县人,于1981年4月14日入院。主诉咳嗽、气短10余年,反复全身浮肿4～5年,1周来加重。患者10岁起反复发作咳喘、怕冷、口唇紫绀,但痰不多,不感发烧。治疗后可临时好转,无明显季节性。12岁因病休学。近4～5年症状日重,且反复发生全身性浮肿,以下肢为主。1978年曾按“心脏病”治疗,临时缓解,但以后仍反复发作。1周前心慌、气急、紫绀加重,伴恶心、呕吐、大小便少、四肢麻木,不能平卧,治疗无效转我院。既往无重要病史,月经正常,婚后五年无生育。
Fang XX, female, 29 years old, married, peasant woman, Honghu County, was admitted on April 14, 1981. Chief complaint cough, shortness of breath more than 10 years, repeated systemic edema 4 to 5 years, 1 week to aggravate. Patients with recurrent cough and asthma after 10 years of age, afraid of cold, cyanotic lips, but not much sputum, do not feel fever. After treatment can be temporarily improved, no significant seasonal. 12-year-old due to sick leave school. Nearly 4 to 5 years of severe symptoms, and repeated systemic edema, mainly to the lower limbs. In 1978, according to “heart disease” treatment, temporary relief, but still repeated attacks later. 1 week ago palpitation, shortness of breath, cyanosis increased, with nausea, vomiting, urine less numbness, can not lie down, treatment invalid transfer to our hospital. No previous important medical history, normal menstruation, fertility five years after marriage.