论文部分内容阅读
例1:女,70岁,因心悸、胸闷、心前区不适于1682年3月8日入院。既往有风心病史多年,可操作一般家务。近两年来劳累后发作心悸、胸闷,多次心电图检查证实为心房颤动。 体检:发育营养情况尚可,神志清楚,角膜可见老年环,颈静脉不怒张,叩诊心浊音界向两侧扩大,心率108次/分,心律绝对不规则,有脉搏短绌,心尖部可闻Ⅱ级舒张期及Ⅲ级收缩期杂音,两肺呼吸音低,腹软,肝助下3cm质中等,无压痛,神经系统未引出病理反射,胸部X线透视示左心房,右室、左室均扩大,诊断:风心病二尖瓣狭窄及关闭不全,心
Example 1: Female, 70 years old, due to heart palpitations, chest tightness, precordial unsuitable for admission on March 8, 1682. Past history of rheumatic heart for many years, can operate general housework. Over the past two years after the onset of fatigue palpitations, chest tightness, multiple electrocardiogram confirmed as atrial fibrillation. Physical examination: the development of nutritional status is acceptable, conscious, the corneal ring can be seen, the jugular vein does not anger, percussion heart dullness to expand on both sides, the heart rate 108 beats / min, the heart rate is absolutely irregular, short pulse, apex can Smell Ⅱ diastolic and grade Ⅲ systolic murmur, both lungs low breath sounds, abdominal soft, liver mass 3cm medium without tenderness, the nervous system did not lead to pathological reflex, chest X-ray showed the left atrium, right ventricle, left Room are enlarged, diagnosis: rheumatic mitral stenosis and insufficiency, heart