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例1 迟××、女、73岁、农妇。于1985年1月15日晚10点,因突然呼吸困难3小时住院。有慢性咳嗽30年左右,近几天因感冒咳嗽加重咳黄痰,经静滴红霉素3天症状好转,但于大便后突然发生呼吸困难不能平卧。查体:T35.5℃ P118次/分,BP160/70mmHg、R28次/分。神清,端坐位烦躁不安,面色苍白、口唇发绀、额部冷汗、哮喘。心音低纯律整、率118次/分、下肢轻度浮肿。当时按慢性支气管炎肺内感染左心衰给予对症治疗。翌日病情恶化,心率130次/分,血压逐渐至零经心电图检查确诊为急性前壁心肌梗塞。经抢救五天病情平稳,住院78天出院。例2 王×,男、62岁、干部。于1981年9月29日晚10点因右上腹痛半天入院。在来院前五小时饮酒饭后,自觉右上腹痛并逐渐加剧伴恶心。查体,生命指征
Example 1 Late × ×, female, 73 years old, farmer. On January 15, 1985, at 10 p.m., he was hospitalized for 3 hours due to sudden dyspnea. Chronic cough for about 30 years, in recent days due to cold cough and cough yellow sputum, by intravenous infusion of erythromycin 3 days symptoms improved, but after the stool suddenly dyspnea can not lie down. Examination: T35.5 ℃ P118 times / min, BP160 / 70mmHg, R28 times / min. God clear, sitting rest irritability, pale, lips cyanosis, forehead cold sweat, asthma. Heart sound low pure law, the rate of 118 beats / min, mild lower extremity edema. Chronic bronchitis was left symptomatic treatment of left heart failure by pulmonary infection. The next day the disease deteriorated, heart rate 130 beats / min, blood pressure gradually zero to ECG confirmed by acute anterior myocardial infarction. Five days after the rescue, the disease was stable and discharged in hospital for 78 days. Example 2 Wang ×, male, 62 years old, cadre. On September 29, 1981, at 10 o’clock in the night because of right upper quadrant pain for a long time. In the five hours before coming to hospital to drink rice, consciously right upper quadrant pain and gradually aggravated with nausea. Physical examination, indication of life