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1.病例介绍 患者男,66岁。因咳嗽憋喘20年,心慌气短1年余以慢性支气管炎、慢性阻塞性肺气肿、肺心病于2000年1月20日收住院。 查体:T37.5℃,P130次/分,R24次/分,血压17/10KPa,端坐呼吸,口唇紫绀,颈静脉怒张,肝静脉回流阳性,桶状胸、过清音,两肺可闻及干湿罗音。HR130次/分,律绝对不整,心音低钝,肝剑下5cm,右肋下3cm,质韧压痛腹水征阳性,化验检查示:血象:白细胞
1. Case description Patient male, 66 years old. Chronic gastritis, chronic obstructive pulmonary emphysema, pulmonary heart disease on January 20, 2000 admitted to hospital for coughing wheezing for 20 years. Examination: T37.5 ℃, P130 beats / min, R24 beats / min, blood pressure 17 / 10KPa, sitting and breathing, cyanosis of the lips, jugular vein engorgement, positive hepatic vein reflux, Smell and dry rales. HR130 beats / min, the law is absolutely not whole, low heart sound blunt, 5cm under the liver sword, the right rib 3cm, tenderness tenderness ascites sign positive, blood test: blood: white blood cells