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患者,男,20岁。因心慌、气短、咳嗽、咯血4月,加重1月,于1990年12月26日入院。发病以来感乏力、纳差、头晕,无发热、胸痛及浮肿。无传染病和特殊家族史。体检:T 35.8℃,P120次/分,R28次/分,BP12.5/8.0kPa,慢性病容,口唇、甲床轻度紫绀,双肺呼吸音粗糙,双肺底闻细湿罗音,心界向两侧扩大,HR120次,律齐,心尖部可闻Ⅲ级收缩期杂音,肝肋下2.0cm、剑突下4.0cm,脾肋下未触及。肝-颈回流征阳性。实验室及其他检查:血常规、血小板、出凝血时间、纤维蛋白原、血沉、肝功正常,乳酸脱氢酶270u/L(本院正常值133u/L),
Patient, male, 20 years old. Due to palpitation, shortness of breath, cough, hemoptysis in April, increased in January, on December 26, 1990 admission. Since the onset of a sense of fatigue, anorexia, dizziness, no fever, chest pain and edema. No infectious diseases and special family history. Physical examination: T 35.8 ℃, P120 beats / min, R28 beats / min, BP12.5 / 8.0kPa, chronic disease, lips, nail bed mild cyanosis, rough breathing sounds in both lungs, Circle to both sides of the expansion, HR120 times, law Qi, apex symphony Ⅲ systolic murmur, liver ribs 2.0cm, xiphoid 4.0cm, splenic ribs not touched. Liver - neck reflux sign positive. Laboratory and other tests: blood, platelets, clotting time, fibrinogen, erythrocyte sedimentation rate, normal liver function, lactate dehydrogenase 270u / L (hospital normal 133u / L)