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患者,男,48岁,农民。因阵发性胸闷、咳喘、呼吸困难半月,全身浮肿12天,于1980年12月3日急诊入院。同年11月19日,赤脚干农活1整天后着凉,当晚9时左右,突然感胸闷、气喘、呼吸困难、咳嗽带白色泡沫痰,不发热,亦无心前区疼痛。即去当地医院,按“肺心病”用青、链霉素和麻黄素等药治疗,约半小时后症状渐缓解。嗣后症状阵发性出现。罹病后第三天出现颜面和下肢水肿,尿少,不能平卧。在院外间断用青、链霉素及
Patient, male, 48 years old, farmer. Because of paroxysmal chest tightness, cough, difficulty breathing half a month, systemic edema 12 days, December 3, 1980 emergency admission. November 19 the same year, barefoot dry farm work all day after a cold, about 9 o’clock that night, suddenly feeling chest tightness, asthma, dyspnea, cough with white foam sputum, no fever, nor precordial pain. Go to the local hospital, press “pulmonary heart disease ” with cyanosis, streptomycin and ephedrine and other drugs, about half an hour after the symptoms gradually ease. Subsequent symptoms of paroxysmal. The third day after onset of facial and lower extremity edema, oliguria, can not be supine. In the hospital intermittent use of green, streptomycin and