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1临床资料患者,男性,70岁。因心悸气短1年,加重伴双下肢水肿20天,1992年4月7日入院。自1991年3月起,活动后心悸、气短、不能平卧。心电图示心房颤动,服硝酸异山梨酯(消心痛)无效。伴恶心、呕吐,近3个月来,体重下降15 kg。20天来,双下肢水肿。既往身体健康。查体:血压11.97/9.31 kPa(90/70 mmHg)、脉搏68次/分,皮肤、舌正常,浅表淋巴结不肿大。颈静脉轻度怒
1 clinical data patients, men, 70 years old. Shortness of breath due to heart palpitations 1 year, aggravated with double lower extremity edema 20 days, April 7, 1992 admission. Since March 1991, after the event palpitations, shortness of breath, can not lie down. ECG showed atrial fibrillation, serving isosorbide mononitrate (heartburn) no effect. With nausea, vomiting, nearly 3 months, weight loss 15 kg. 20 days, double lower extremity edema. In the past, good health. Physical examination: blood pressure 11.97 / 9.31 kPa (90/70 mmHg), pulse 68 beats / min, skin, tongue normal, superficial lymph nodes does not enlarge. Jugular vein mild anger