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例1,患者陈某,男性,50岁。病案号:165823。因活动后胸闷心悸,气急,两下肢浮肿10天,于1991年10月4日入院。体检:T36—℃,P100次/分BP10/6KPa,颈静脉怒张,两肺未闻及干湿罗音心界向两侧扩大,心率100次/分,律齐,可闻及 S_4,心尖部Ⅱ级收缩期杂音。腹软,肝右肋下2.5cm,肝颈反流征(+)两下肢轻度浮肿。辅助检查:血沉、肾功能、血电解质均正常,肝功能:总胆红素2.8mg%,GPT89°,GOT57~u,r-GT135~u,HBsAg(一),心肌酶谱,LDH565~u,CPK2.1~u。抗 COX1:1600。心电图示:窦性心律、低电压,ST-T 改变。全胸片示:两肺纹理增
Example 1, patient Chen, male, 50 years old. Case number: 165823. Due to chest tightness after activities palpitations, shortness of breath, two lower extremities edema for 10 days, in October 4, 1991 admission. Physical examination: T36- ℃, P100 times / min BP10 / 6KPa, jugular vein engorgement, both lungs did not smell and wet and dry rales heart bound to expand on both sides, heart rate 100 beats / min, law Qi, can smell and S_4, apical Department Ⅱ systolic murmur. Abdomen soft, liver right rib 2.5cm, liver reflux syndrome (+) two lower limbs mild edema. Auxiliary examination: ESR, renal function, blood electrolyte were normal, liver function: total bilirubin 2.8mg%, GPT89 °, GOT57 u, r GT135 u, HBsAg, myocardial enzymes LDH565 u, CPK2.1 ~ u. Anti-COX1: 1600. ECG shows: sinus rhythm, low voltage, ST-T changes. Full chest film shows: increased lung markings