患者,男性,52岁。因反复胸闷、心悸、气促6年,上腹部饱胀半月入院。先后住院治疗11次,诊断充血型心肌病,乳头肌功能不全。入院体检:意识清,气促,高枕卧位,口唇青紫,颈静脉稍充盈,两肺呼吸音较轻,未闻干湿性罗音,心尖搏动 Patient, male, 52 years old. Due to repeated chest tightness, palpitations, shortness of breath 6 years, half full abdomen admitted to hospital. Inpatient treatment has 11 times, diagnosis of congestive cardiomyopathy, papillary muscle dysfunction. Admission examination: conscious, shortness of breath, high pillow position, lips purple, slightly filling the jugular vein, both lungs lighter breath sounds, no smell of wet and dry rales, apex beat