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患者男,23岁,平时身体健康。三天前开拖拉机时被方向盘撞击胸部,局部轻挫伤.曾出现口唇紫绀.经吸氧,用多巴胺治疗稍有好转,因心脏出现杂音而来诊治。查体:T37℃,P100次,R30次,BP12/8kPa,心界向双侧扩大,心率120次,奔马律,胸骨左缘第4、5肋间闻及Ⅲ级收缩期杂音响亮不传导,P_2不亢进,左肺散在湿罗音,右下肺闻及少许水泡音。血常规,白细胞14.0×10~9/L,中性0.60,淋巴0.40。X线胸片示创伤性湿肺。心电图:窦性心动过速。完全性左束支传导阻滞,前
Male patient, 23 years old, usually healthy. Three days ago when the tractor was hit by the steering wheel chest, local bruises. There have been cyanosis lips. By oxygen, slightly improved with dopamine treatment, due to heart murmur diagnosis and treatment. Physical examination: T37 ℃, P100 times, R30 times, BP12 / 8kPa, the heart bound to bilateral enlargement, heart rate 120 times, gallop, sternum left margin 4,5 intercostal smell and Ⅲ systolic murmur loud no conduction , P_2 not hyperthyroidism, left lungs scattered in the wet rales, the right lower lung smell a little blisters sound. Blood, white blood cells 14.0 × 10 ~ 9 / L, neutral 0.60, lymph 0.40. X-ray showed traumatic wet lung. Electrocardiogram: Sinus tachycardia. Complete left bundle branch block, before