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例李某,男,63岁。以肺心病并心衰Ⅲ度于1986年2月16日入院。T37.6℃,P96次/分,R28次/分,Bp14.7/9.33kPa,前倾坐位,唇及掌指灰黑。颈静脉怒张。两肺中下野有大量中小湿啰音。心律齐,无杂音.肝肋下3cm,膝下显著指陷性水肿。尿蛋白+,红白细胞管型各少许.CO_2CP33.2mmol/L。心电图呈肺型P波、R-BBB和下壁心肌缺血。正位胸片;肺动脉园锥明显突出,右下肺动脉横径17.5mm。在控制感染同时,口服硝苯吡啶和654-2各10mg,每日3次。因咽干难忍,第7日将654-2减半,增硝苯吡啶为每次20mg,第 9日左小及无名趾麻木。第10日双手节律性细颤。第12日停后4天消失。因两药合用比以往用强心、利尿药的疗效更好,于17日两药恢复原量,同时含服果味维生素C。4月3日临床治愈出院。
Example Lee, male, 63 years old. To pulmonary heart disease and heart failure Ⅲ degrees February 16, 1986 admission. T37.6 ℃, P96 beats / min, R28 beats / min, Bp14.7 / 9.33kPa, anteversion position, lip and palm black gray. Jugular vein engorgement. Middle and lower lungs in both lungs have a large number of small and medium wet rales. Heart rhythm Qi, no noise. Liver ribs 3cm, knee marked edema. Urinary protein +, red and white cell tube a little.CO_2CP33.2mmol / L. ECG showed pulmonary P wave, R-BBB and inferior myocardial ischemia. Orthotropic chest; pulmonary conic significantly conspicuous, right lower pulmonary artery diameter 17.5mm. In the control of infection at the same time, oral nifedipine and 654-2 each 10mg, 3 times a day. Because of throat unbearable, on the 7th will be halved 654-2, nifedipine for each 20mg, on the 9th left and unknown toe numbness. On the 10th hand rhythmic tremor. On the 12th after four days disappeared. Due to the combination of two drugs than ever before with cardiac, diuretic efficacy is better, on the 17th two drugs to restore the original amount, at the same time containing fructose vitamin C. April 3 clinical cure and discharge.