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毕某某,男性,72岁,退休干部,病历号62270。咳嗽、咳痰30年,伴气短,气喘10年,心悸、浮肿3年,近半月咳喘加重,不能平卧,服氨茶碱,复方新诺明等无效,于1988年4月18日入院。体检:发育正常,营养中等。半卧位,急性痛苦病容,口唇、颜而明显发绀,咽赤,舌质紫暗,苔白腻。脉滑、促。颈静脉怒张,呼吸急促,桶状胸,两肺叩之过清音,肺肝界第七肋间;呼吸音减低,两肺底及腋下可闻中、小水泡音。心率120次/分,律不齐,心窝部第一心音强于
Bi Moumou, male, 72 years old, retired cadre, medical record number 62270. Cough, sputum 30 years, with shortness of breath, asthma 10 years, palpitations, edema 3 years, nearly half of cough and asthma aggravated, can not supine, taking aminophylline, cotrimoxazole and other invalid, admitted to hospital on April 18, 1988 . Physical examination: normal development, moderate nutrition. Semi-recumbent, acute pain, lip, Yan and obviously cyanosis, pharynx red, dark purple tongue, greasy moss. Pulse slip, promote. Jugular vein engorgement, shortness of breath, barrel chest, lungs knock over the voiceless, lung and liver sector seventh intercostal; breath sounds reduced, both lungs and underarm can smell, small blisters sound. Heart rate 120 beats / min, irregularity, heart Department of heart first heart sound stronger than