病历摘要患者赵××,住院号200151,男,17岁,学生,大城人,1970年移居内蒙。1972年6月22日入院。诉发冷发烧两月,心慌气短、全身浮肿半个月。两月前曾“感冒”,一周后加重,先冷后烧,无寒战,体温38℃左右,下午明显。轻咳,吐少许白痰,无游走关节痛。经青、链霉素治疗好转。半月前又冷烧,体温37.2℃左右,面部及下肢浮肿,心慌气短,不能平卧,有时口唇青紫,吐粉色泡沫痰。并常有恶心呕吐,当地治疗半月无效,转入我院。无尿频急或排尿痛。既往体健,无咽痛、关节痛、心脏病史。家族史无异常。查体:体温36.8℃,脉搏110次/分,呼吸32次/分,血压124/60毫米汞柱。发育正常,重病容,贫血貌,颅枕位,呼吸急,面浮肿,巩膜黄染,唇紫绀,皮肤粘膜未见出血点。颈静脉轻度怒张。咽 Zhao XX summary of medical records, hospitalization 200151, male, 17 years old, students, Ayutthaya, moved to Inner Mongolia in 1970. June 22, 1972 admission. V. Fever fever two months, palpitation shortness of breath, body edema for half a month. Two months ago had a “cold”, increased after a week, the first cold after the burn, no chills, body temperature around 38 ℃, afternoon obviously. Light cough, spit a little white sputum, no wandering joint pain. Green, streptomycin treatment improved. Half a month ago and cold, body temperature 37.2 ℃ or so, face and lower extremity edema, palpitation shortness of breath, can not lie down, and sometimes lips bruising, spit pink foam sputum. And often nausea and vomiting, local treatment half invalid, transferred to our hospital. No urgency or urination pain. Past physical health, no sore throat, joint pain, history of heart disease. No abnormal family history. Physical examination: body temperature 36.8 ℃, pulse 110 beats / min, breathing 32 beats / min, blood pressure 124/60 mm Hg. Development of normal, severe disease, anemia appearance, skull pillow position, acute respiratory, surface edema, scleral yellow dye, cyanosis of the lips, skin and mucous membrane no bleeding. Jugular vein mild rage. pharynx