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患者男,45岁。因胸闷、咳嗽、气促5个月余,加重1个月余来我科就诊。主诉5个月余前无明显诱因渐出现胸闷、咳嗽、气促,活动后加重,无口唇紫绀、黑矇、咯血、咳粉红色泡沫痰和下肢水肿,夜间能平卧。未行特殊治疗,1个月余前患者体力劳动时上述症状加重,伴呼吸困难,口唇紫绀,无咯血,无四肢活动障碍,症状较前明显加重,至外院就诊,行胸部CT检查示:双肺动脉栓塞;肿瘤标记物检查:阴性。考虑肺动脉血栓栓塞,予抗凝治疗1周(具体不详),症状无明显改善。来我
Male patient, 45 years old. Due to chest tightness, cough, shortness of breath more than 5 months, increased more than 1 month I came to our clinic. The main complaint five months ago no obvious incentive to gradually appear chest tightness, cough, shortness of breath, aggravating after activity, no lip cyanosis, dark, hemoptysis, cough, pink foam sputum and lower extremity edema, supine at night. No special treatment, more than 1 month before physical fatigue in patients with the above symptoms, with dyspnea, cyanotic lips, no hemoptysis, no limb movement disorders, the symptoms were significantly worse, to the outpatient clinic, chest CT showed: double Pulmonary embolism; Tumor marker test: negative. Consider pulmonary thromboembolism, anticoagulant therapy for 1 week (specifically unknown), no significant improvement in symptoms. come to me