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患者,女,80岁。因“发热、气促1周”于2017年2月26日入院。既往有高血压病、2型糖尿病、冠状动脉粥样硬化性心脏病、慢性心力衰竭、老年心瓣膜退行性变。入院体检:T38.6℃,P 79次/分,R 21次/分,BP 166/68 mmHg。双肺呼吸音粗,可闻及哮鸣音,双肺底可闻及少许细湿性啰音;HR 79次/分,律齐,心尖部可闻及舒张期杂音。查血常规:WBC7.94×10~9/L,中性细胞比率(N)0.698,淋巴细胞比率(L)
Patient, female, 80 years old. Because of “fever, shortness of breath for 1 week” was admitted on February 26, 2017. Past history of hypertension, type 2 diabetes, coronary atherosclerotic heart disease, chronic heart failure, senile heart valve degeneration. Admission examination: T38.6 ℃, P 79 beats / min, R 21 beats / min, BP 166/68 mmHg. Breath sounds coarse lungs, can be heard and wheeze, lungs can be heard at the end and a little squeamish rales; HR 79 beats / min, Law Qi, apex can be heard and diastolic murmur. Blood routine examination: WBC7.94 × 10 ~ 9 / L, the ratio of neutral cells (N) 0.698, lymphocyte ratio (L)