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病例报告例1:某女,69岁。因反复心悸、气短、胸闷20年,双下肢浮肿、不能平躺3天入院。高血压史26年,无风湿病及心绞痛史。查体:血压130/95,端坐呼吸,唇紫,颈静脉怒张,桶胸,双肺湿啰音。心界向左扩大,心率110次,心律不齐,心音强弱不等,绌脉,无舒张期杂音(DM)。肝大,双下肢Ⅱ°凹肿。血沉34mm/小时。胸片示左房及左右室大。心电图示心房纤颤、左室肥厚劳损。心音图示
Case report 1: a woman, 69 years old. Due to repeated palpitations, shortness of breath, chest tightness 20 years, both lower extremity edema, can not lie 3 days admitted. 26 years history of hypertension, no history of rheumatism and angina. Physical examination: blood pressure 130/95, sitting breathing, lip purple, jugular vein engorgement, barrel chest, lung wet rales. Heart to the left to expand, heart rate 110 times, arrhythmia, heart sound intensity range, the contralateral pulse, no diastolic murmur (DM). Large liver, lower limb Ⅱ ° deformity. ESR 34mm / hour. Chest radiograph shows left room and left room. ECG shows atrial fibrillation, left ventricular hypertrophy strain. Heart sound icon