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例1,男,34岁。因反复咳嗽,哮喘20年,加重伴心累气紧半月入院.查体:T37℃.R36次/分,P120次/分.Bp14.7/10.7kPa 神清,面部及双下肢水肿,球结膜充血,鼻煽,口唇发绀,气管居中,颈静脉怒张,肺气肿体征,双肺可闻湿鸣及大量哮鸣,心律齐,心率120次/分,无杂音.肝肋下3cm,质中,肝颈静脉回流征(+).胸透:慢支炎、肺气肿、肺心病。诊断慢支炎(哮喘型)伴感染,肺心病伴心衰。经吸氧、抗感染、强的松、氨茶硷、纠酸、利尿
Example 1, male, 34 years old. Due to repeated cough, asthma for 20 years, increased constipation tight half a month admitted to hospital Physical examination: T37 ℃ .R36 times / min, P120 beats / min .Bp14.7 / 10.7kPa Shen Qing, facial and lower extremity edema, conjunctival Congestion, nasal inflammatory, lips cyanosis, tracheal center, jugular vein engorgement, emphysema signs, both lungs can smell dampness and a large number of wheezing, heart rate Qi, heart rate 120 beats / min, no noise. In the hepatic jugular vein reflux sign (+). Chest throat: chronic bronchitis, emphysema, pulmonary heart disease. Diagnosis of chronic bronchitis (asthma type) with infection, pulmonary heart disease with heart failure. After the oxygen, anti-infection, prednisone, aminophylline, acid correction, diuretic