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患者,男,44岁.既往有风湿性心脏病史10年,3年前在本院诊断“风心病二尖瓣狭窄,心房纤颤”,本次因心悸于1991年3月4日入院。查体:P116次/min、BP14.5/11kPa,神志清,颈静脉无充盈,心界向双侧轻度扩大,心尖区可触及舒张期震颤,并可闻及中晚期舒张期杂音,心率132次/min,心律不齐,心音强弱不等,P_2>A_2,两肺呼吸音清晰,肝、脾不大,下肢无水肿。实验室检查:血、尿、粪常规,肝、肾功能,血清钠、钾均正常,血沉不快;心电图:异位心律,心房纤颤,QRS 间期0.10s,室率138次/min;心脏常规片提示:风心二尖瓣狭窄。入院后于3月9日开始服用乙胺碘呋酮(Amiodaront),纠正
The patient, male, 44 years old with a history of rheumatic heart disease for 10 years, 3 years ago in our hospital diagnosis of “rheumatic mitral stenosis, atrial fibrillation,” the heart palpitations in March 4, 1991 admission. Physical examination: P116 times / min, BP14.5 / 11kPa, clear mind, no filling of the jugular vein, mild heart to bilateral enlargement, apex area can reach diastolic tremor, and can be heard and diastolic mid to late murmur, heart rate 132 times / min, arrhythmia, heart sound intensity range, P_2> A_2, both lungs breath sounds clear, liver, spleen is not large, lower extremity no edema. Laboratory tests: blood, urine, fecal routine, liver and kidney function, serum sodium, potassium are normal, echoes; ECG: ectopic rhythm, atrial fibrillation, QRS interval 0.10s, room rate 138 beats / min; heart Conventional film Tip: Wind-induced mitral stenosis. After admission on March 9 began taking amiodarone (Amiodaront), corrected