病例摘要陈××,男,61岁,工人。1975年2月17日从城墙上滑下,当时神志清楚,仅右腰部挫伤,经休息治疗一月后上班。3月后,于活动或讲话多时有气急,心慌、出汗,并逐渐出现下肢浮肿,前胸部发闷,似有阻塞感,夜里常不能平卧。曾多次就诊诊断为“肺气肿、心脏病高血压”(Bp144/94mmHg)。经对症治疗,病情时重时轻而于1977年2月第一次住院,查心电图示窦性心律,慢性冠状动脉供血不足;血脂正常;(血清总蛋白5.0g％)诊断为“冠心病”“慢性左心衰竭”,住院治疗20余天,病情好转出院。 1977年7月,又因胸闷、气急发作二天,伴低血 Case Summary Chen × ×, male, 61 years old, worker. February 17, 1975 sliding down from the city wall, was conscious at the time, only the right lower back contusion, after a rest treatment to work after January. After 3 months, at activities or speeches from time to time have shortness of breath, palpitation, sweating, and the gradual emergence of lower extremity edema, chest stuffy stuffy, seems to have a sense of obstruction, often can not lie supine at night. Has repeatedly diagnosed as “emphysema, heart disease and hypertension” (Bp144 / 94mmHg). After symptomatic treatment, the condition was light and time-consuming in February 1977 the first hospitalization, check the ECG shows sinus rhythm, chronic coronary insufficiency; normal blood lipids; (serum total protein 5.0g%) diagnosed as “coronary heart disease” “Chronic left heart failure,” hospitalized more than 20 days, the condition improved and discharged. July 1977, but also because of chest tightness, shortness of breath two days, with low blood