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1临床资料1.1一般资料:患者,女,70岁,因“胸闷、气促9 h”来院急诊。2010年7月27日下午出现胸闷、气促,端坐呼吸,无胸痛、濒死感,无咳粉红色泡沫痰,无尿少、下肢水肿,休息后症状不能缓解,于27日晚22:30左右来我院急诊,以“冠心病、心力衰竭(心功能Ⅳ级)”收入急诊ICU。患者既往无高血压、糖尿病等慢性病史,身体健康。1.2入院后体格检查:血压149/90 mm Hg,神志清,端坐呼吸,口唇微绀,颈静脉无怒张,两肺呼吸音粗,未闻及明显干湿啰
1 Clinical data 1.1 General information: Patients, female, 70 years old, due to “chest tightness, shortness of breath 9 h ” to hospital emergency. July 27, 2010 afternoon chest tightness, shortness of breath, sitting breathing, no chest pain, sense of imminent, no cough pink foam sputum, less urine, lower extremity edema, rest can not alleviate the symptoms, on the evening of the 27th 22: 30 or so to our hospital emergency room to “coronary heart disease, heart failure (heart function grade IV) ” income emergency ICU. No past history of patients with hypertension, diabetes and other chronic medical conditions, good health. 1.2 Physical examination after admission: blood pressure 149/90 mm Hg, conscious mind, sitting breathing, micro-cyanosis lips, jugular vein without tension, both lungs breath sounds crude, did not smell and obviously wet and dry