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患者,女性,78岁,因肺心病、肺感染、心衰Ⅲ°、冠心病、心房纤颤,于1989年11月24日入院。查体:BP17.3/10.7kPa,慢性病容,贫血外观,意识清,呼吸急促,半卧位,口唇发绀,眼睑浮肿,颈V怒张,桶胸,肋间隙增宽,心音纯,律不齐,心率100～150次/分,双肺干湿啰音,肝肋下2cm,双下肢浮肿。化验检查:血清K正常。心电图示:心房纤颤,心电轴右偏,顺钟向转位。
Patient, female, 78 years old, admitted to hospital on November 24, 1989 due to cor pulmonale, lung infection, heart failure Ⅲ °, coronary heart disease, and atrial fibrillation. Examination: BP17.3 / 10.7kPa, chronic disease, anemia appearance, consciousness, shortness of breath, semi-recumbent position, cyanosis of the lips, eyelid edema, neck V anger, barrel chest, intercostals space widened, Qi, heart rate 100 ~ 150 beats / min, lung wet and dry rales, liver ribs 2cm, lower extremity edema. Laboratory tests: serum K normal. ECG shows: atrial fibrillation, ECG right deviation, cis-clockwise translocation.