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患者,男,65岁。因下肢麻木4个月,气促、水肿20天于1990年5月3日步行入院。4个月前,患者出现纳差、乏力,渐感双下肢麻木,行走如踩棉花样,逐日加重,偶感烧灼样疼痛。曾诊断为“腰骶神经根炎”。近20天,曾发热38℃,1天后热退而感胸闷,活动后心悸、气促。尿量减少,出现双下肢水肿。既往体健。1981年体检心电图示完全性右束支传导阻滞。查体:T36℃,P74次,R20次,Bp16/10kPa,慢性重病容,平卧位。皮肤无瘀斑。浅表淋巴结不肿大。舌质胖,舌乳头颗粒较粗。颈静脉轻度怒张。肺底少许细湿性啰音。心界向左扩大。心率74
Patient, male, 65 years old. Numbness due to lower limbs 4 months, shortness of breath, edema 20 days in May 3, 1990 walking admission. 4 months ago, patients with anorexia, fatigue, gradually feeling numbness of lower extremities, such as walking on cotton, increasing day by day, even burning burning pain. Had diagnosed as “lumbosacral nerve root inflammation.” Nearly 20 days, had fever 38 ℃, 1 day after the heat back chest tightness, palpitations after activity, shortness of breath. Decreased urine output, there edema of both lower extremities. Past physical health. 1981 physical examination showed complete right bundle branch block. Physical examination: T36 ℃, P74 times, R20 times, Bp16 / 10kPa, chronic severe disease, supine position. No ecchymosis on the skin. Superficial lymph nodes are not enlarged. Tongue fat, thick tongue tongue. Jugular vein mild rage. Slightly wet lungs rales. Heart left to expand. Heart rate 74