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患者,男性,73岁,退休工人。因畏寒、浮肿、头昏10年余,加重伴呼吸困难20天,于1992年10月12日急诊入院。既往有高血压病史。10年前曾到某省级医院检查,先后诊断为“高血压病”、“肾病综合征”,经对症治疗病情无缓解,且逐年加重。入院前在某县医院按“肾病综合征”治疗月余病情加重而转我院。入院查体:T36.2℃、P58次/分、BP20/13kpa,端坐呼吸,精神萎靡、语言含糊。皮肤粗糙、干冷,颜面苍白浮肿,唇厚,舌体大厚。
Patient, male, 73 years old, retired worker. Due to chills, edema, dizziness more than 10 years, aggravated with dyspnea 20 days, on October 12, 1992 emergency admission. Past history of hypertension. 10 years ago to a provincial hospital examination, has diagnosed as “hypertension”, “nephrotic syndrome”, the symptomatic treatment of the disease did not ease, and increased year by year. Before admission in a county hospital according to “nephrotic syndrome” more than month disease treatment and transferred to our hospital. Admission examination: T36.2 ℃, P58 times / min, BP20 / 13kpa, sitting and breathing, apathetic, vague language. Rough skin, dry and cold, pale face edema, lip thick, thick tongue.