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1病例报告患者女,65岁。因间断胸闷、气促伴双下肢水肿、纳差6个月,加重5 h入院。查体:脉搏106/min,呼吸25次/min,血压130/70 mmHg,急性面容,口唇轻度发绀,三凹征明显,双侧语颤无明显增强,听诊双肺呼吸音粗,满肺可闻及细湿啰音穆?106/min,律齐,心音无增强、无分裂,二尖瓣听诊区可闻及3/6级收缩期吹风样杂音,无传导。移动性浊音(-),神经系统查体无异常。心电图:窦性心动过速、左心房扩大、心肌供血不足。初
A case report patient female, 65 years old. Due to intermittent chest tightness, shortness of breath with edema of both lower extremities, anorexia for 6 months, increased 5 h admission. Examination: pulse 106 / min, breathing 25 times / min, blood pressure 130/70 mmHg, acute face, lips mild cyanosis, three recess sign obvious bilateral auditory fibrillation no significant increase, auscultatory lung breath sounds thick, full of lung Can be heard and fine wet rales Mu? 106 / min, Law Qi, no enhancement of heart sound, no division, mitral auscultation area can be heard and 3/6 systolic hair-like murmurs, no conduction. Mobility dullness (-), nervous system examination no abnormalities. ECG: sinus tachycardia, left atrial enlargement, myocardial insufficiency. early