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病历摘要翟×,女性,7,4岁,病历号15349。因受凉后畏寒发烧轻咳4天,于1979年4月25日入院。体检:年老体弱,神志清楚,体温39.3℃,血压170/90毫米汞柱,颈静脉充盈,心界叩诊向左轻度扩大,心尖及剑突下有Ⅱ级吹风样收缩期杂音,心律不齐,有期前收缩4～5次/分,心率125次/分,二肺中下有湿罗音,肝脾未扪及,下肢不肿。白细胞
Digest of medical records × ×, female, 7,4 years old, medical record number 15349. Chill due to cold cough due to cold cough 4 days, on April 25, 1979 admission. Physical examination: frail, conscious, body temperature 39.3 ℃, blood pressure 170/90 mm Hg, filling the jugular vein, heart percussion slightly expanded to the left, apical and xiphoid hernia Ⅱ systolic murmur, heart rate Missed, with a contraction of 4 to 5 times / min, heart rate 125 beats / min, two lungs wet rales, liver and spleen not palpable, lower extremity is not swollen. leukocyte