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例1,男,35岁、主因头晕、胸闷5天,加重伴气短、呼吸困难2小时入院,检查:体温37.5℃,呼吸24次/分,脉搏112次/分,血压13.3/10kPa。神清,面色苍白,额面部出汗,口唇轻度紫绀。胸对称,双肺底可闻及中量湿罗音,心界不大,心率112次/分,律整,各瓣膜听诊区未闻及杂音。腹软,肝脾不大,肠鸣音正常,四肢无浮肿。血常规化验:白细胞11.2×10~9/L,中性0.79,淋巴0.29。尿便常规无异常发现。X光透视:心肺膈未见异常。心电图:窒性心动过速,轻度心肌缺血。入院诊断:急性左心衰竭。给予氧气吸入及西地兰0.4毫克、速尿20毫克、安茶硷0.25
Example 1, male, 35 years old, mainly due to dizziness, chest tightness for 5 days, increased with shortness of breath, difficulty breathing 2 hours admitted to the hospital, check: body temperature 37.5 ℃, breathing 24 beats / min, pulse 112 beats / min, blood pressure 13.3 / 10kPa. Clear, pale, forehead sweat, lips mild cyanosis. Chest symmetry, both lungs can be heard and in the amount of wet rales, the heart is not big, heart rate 112 beats / min, law, the valve auscultation area did not smell and noise. Abdominal soft, small spleen, bowel sounds normal, no swelling of the limbs. Blood tests: white blood cells 11.2 × 10 ~ 9 / L, neutral 0.79, lymph 0.29. Urine routine no abnormal findings. X-ray: heart lungs diaphragm no exception. ECG: beats tachycardia, mild myocardial ischemia. Admission diagnosis: acute left heart failure. Give oxygen inhalation and cedilanfil 0.4 mg, furosemide 20 mg, and theophylline 0.25