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患者女性,39岁,因风湿性瓣膜病、心力衰竭于1986年4月23日入院。体检:BP120/80mmHg,二尖瓣面容,唇、指发绀,颈静脉怒张,两肺底中等量细湿罗音,心浊音向左扩大,心率120—130次/min,律不齐,心尖区Ⅲ—Ⅳ级收缩期粗糙吹风样杂音及舒张期雷鸣样杂音,无猫喘,P_2不亢,肝肋下3cm,脾肋下刚及,双踝以下凹陷性浮肿。UCG:二尖瓣狭窄伴关闭不全,左房、右房、右室扩大。入院前心电图(附图 A)示窦性心律,Pv_1<0.25mV,双相。洋地黄治疗后(口服地高辛每日0.25mg,
Female patient, age 39, was admitted to hospital on April 23, 1986 due to rheumatic valvular disease and heart failure. Physical examination: BP120 / 80mmHg, mitral valve surface, lip, refers to cyanosis, jugular vein engorgement, the middle two lungs moderate fine wet rales, heart dullness to the left to expand, heart rate 120-130 beats / min, irregular, apical District Ⅲ-Ⅳ stage systolic rough hair-like noise and diastolic throat-like murmur, no cat asthma, P_2 not Kang, liver ribs 3cm, spleen and ribs just below, and below the ankle depression pitting. UCG: Mitral stenosis with insufficiency, left atrium, right atrium, right ventricular enlargement. Pre-admission ECG (A) shows sinus rhythm, Pv_1 <0.25mV, biphasic. After digitalis treatment (oral digoxin daily 0.25mg,