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患者,女,54岁,以劳累性心慌、气短10年,加重15天于1996年12月4日入院。患者自1986年确诊为风心病、二尖瓣狭窄并关闭不全。1992年起合并持续性房颤。入院时查体:神志清醒,言语流利,自动体位。心音强弱不一,心律绝对不齐,心率78次/分,心尖部可闻及舒张期隆隆样杂音及Ⅲ级收缩期吹风样杂音。脊柱、四肢无畸形,肌力、肌张力正常。生理反射存在,未引出病理反射。心电图示房颤,心脏彩超示左房及右
Patients, female, 54 years old, with exertional palpitation, shortness of breath for 10 years, increased 15 days in December 4, 1996 admission. Since 1986, patients diagnosed with rheumatic heart disease, mitral stenosis and incomplete closure. Since 1992, the merger of persistent atrial fibrillation. Physical examination on admission: conscious, fluent language, automatic position. Different heart sounds, heart rhythm is absolutely missing, the heart rate 78 beats / min, the apex can be heard and diastolic rumbling noise and grade Ⅲ systolic hair-like murmur. Spine, limb deformity, muscle strength, muscle tone normal. Physiological reflex exists, did not lead to pathological reflex. Atrial fibrillation, atrial fibrillation showed left atrium and right