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患者李某,男,54岁。浩良河翠岗林场工人。1984-02—20入院。该患者咳嗽咯痰十余年并逐年加重。近两年出现心悸。气促。下肢水肿而不能参加劳动。本次入院前因感冒而病情再次加重。入院查体:血压110/70mmHg。脉搏84次/分。体温36℃。呼吸26次/分。慢病容,营养差呈贫血外观。口唇轻度发绀。可见颈静脉怒张。肝颈回流征(+)。肺气肿体征,两肺散在哮鸣音。中下肺野均可闻及干湿罗音。剑突下心脏抬举感(+)。肺动脉第二音亢进。肝大肋下3.5cm。剑突下弥漫性压痛.移动性浊音(+)。下肢轻度水肿。入院后诊断为喘息型慢性支气管炎。阻塞性肺气肿。肺心病
Patient Lee, male, 54 years old. Hao Lianghe Cuigang forest workers. Admitted to hospital The patient cough expectoration more than ten years and increased year by year. Palpitation in the past two years. Shortness of breath. Lower extremity edema and can not participate in labor. Before the admission due to a cold and aggravated again. Admission examination: blood pressure 110 / 70mmHg. Pulse 84 beats / min. Body temperature 36 ℃. Breathing 26 beats / min. Slow disease, poor nutrition was anemic appearance. Mild cyanosis lips. Can be seen jugular vein engorgement. Liver reflux syndrome (+). Emphysema signs, lungs scattered wheeze. Middle and lower lung fields can be heard and wet and dry rales. Xiphoid heart lift (+). Pulmonary artery second tone hyperthyroidism. Liver big ribs 3.5cm. Diffuse xiphoid tenderness. Mobility dullness (+). Lower extremity mild edema. After admission diagnosed as wheezing chronic bronchitis. Obstructive emphysema. Pulmonary heart disease