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患者,女性,54岁.发现患有“风心病”20年,劳力性心悸、气促5年.一月前于受凉后出现寒战、高热,静滴青霉素一周后好转.10天前再次受凉后感心悸、胸闷,伴夜间阵发性呼吸困难及下肢浮肿,5天前出现恶心、呕吐、纳差,入院前出现神志不清、烦躁不安、不能平卧、四肢冰凉及无尿.于1990年1月6日就诊于我院急诊室.用西地兰0.2mg及速尿20mg静注,多巴胺40mg及阿拉明20mg静滴无效而转入病房.入院体查:T36.5℃,BP测不出,呼吸急促,半卧位,神志恍惚,四肢厥冷,唇甲重度发绀,皮肤弹性差,全身皮肤呈花
Patients, female, 54 years old. Found suffering from “rheumatic heart disease” 20 years, exertional heart palpitations, shortness of breath for 5 years .After a month before the cold chills, fever, intravenous penicillin a week after the improvement .10 days ago again after the cold Feeling palpitations, chest tightness, accompanied by nocturnal paroxysmal dyspnea and lower extremity edema, nausea, vomiting, anorexia 5 days ago, there was unconsciousness before admission, irritability, can not lie down, limbs cold and no urine. January 6 visit our hospital emergency room with cedilanid 0.2mg and furosemide 20mg intravenous injection, dopamine 40mg and Alamin 20mg intravenous infusion invalid and admitted to the ward. Admission physical examination: T36.5 ℃, BP test is not Out, shortness of breath, semi-recumbent position, trance, limbs, cold, severe cyanolachia, skin elasticity is poor, the whole body was flower