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病历摘要杨××,女性、62岁、白族、搬运工人,住院号438号。因反复气急、心悸、水肿五年余,于1976年5月17日再次入院。患者于五年前发现高血压病,血压波动于150 ~170/90~110毫米汞柱之间。此后反复气急、咳嗽、心悸、水肿。体检:发育正常,营养不良,神清,端坐呼吸,全身水肿,尤以下肢为甚,唇周轻度紫,颈静脉怒张,甲状腺不肿大。胸廓呈桶状,叩诊呈过清音,心前区可见弥散性搏动,触诊有抬举性搏
Medical records Yang × ×, female, 62 years old, Bai nationality, porters, hospital number 438 Due to repeated shortness of breath, heart palpitations, edema more than five years, again on May 17, 1976 admission. Hypertension was found in patients five years ago and the blood pressure fluctuated between 150 and 170/90 to 110 mmHg. After repeated shortness of breath, cough, heart palpitations, edema. Physical examination: normal development, malnutrition, clear, sit breathing, systemic edema, especially in the lower limbs, mild purple lips, jugular vein engorgement, thyroid enlargement. Thorax was barrel-shaped, percussion showed voiceless, diffuse beating anterior precordial beats, palpation with resistance