患者,男,81岁,因反复双下肢水肿3年,再发2月入院。3年前出现双下肢水肿,对称性,登3、4层楼梯感气促,无尿少、颜面水肿、眼黄、尿黄、腹胀等。每年发作1～2次,伴或不伴气促,每次均服用“利尿剂”治疗,水肿和气促均可好转。查体:消瘦,血压120/60mmHg(1mmHg=0.133kPa),双肺呼吸音清,未闻及干湿性啰音,心律齐,心率65次/min,心界无扩大,胸骨左缘第4肋间闻及2/6级收缩期杂音。 Patients, male, 81 years old, due to repeated edema of both lower extremities 3 years, recurrent in February admitted. Three years ago, there was edema of both lower extremities. Symmetry was found on the 3rd and 4th floors of the staircase. Arousal, less urine, facial edema, ocular yellow, urine yellow, abdominal distension and so on. 1 to 2 episodes per year, with or without shortness of breath, each taking “diuretics” treatment, edema and shortness of breath can be improved. Examination: weight loss, blood pressure 120 / 60mmHg (1mmHg = 0.133kPa), lung breath sounds clear, no smell and wet and dry rales, heart rate Qi, heart rate 65 beats / min, no expansion of the heart, Intercostal smell and 2/6 systolic murmur.