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患者男性,62岁,因咳喘10余年,心慌、气短2年,尿少、浮肿渐重半个月入院。体检:意识朦胧,口唇紫绀,典型肺气肿体征。双肺干、湿罗音。心率:90次/分,律齐,无明显杂音。双下肢高度浮肿。血气分析:P_(co2)13.7Kpa、Sao_2 0.63。诊断:肺心病合并心衰Ⅲ°,肺内感染,肺性脑病。经治疗3日后缺氧症状明显减轻,复查Pco_210.5Kpa,Sao_2 0.78。
Male patient, aged 62, due to cough and asthma for more than 10 years, palpitation, shortness of breath for 2 years, oliguria, edema gradually heavier admitted to hospital for half a month. Physical examination: dim-conscious, cyanotic lips, typical signs of emphysema. Dry lungs, wet rales. Heart rate: 90 beats / min, law Qi, no obvious noise. Double lower extremity edema. Blood gas analysis: P_ (co2) 13.7Kpa, Sao_2 0.63. Diagnosis: pulmonary heart disease with heart failure Ⅲ °, pulmonary infection, pulmonary encephalopathy. After 3 days of treatment, the symptoms of hypoxia were relieved, and Pco_210.5Kpa and Sao_2 0.78 were reviewed.