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1 病历简介 患者:劳特(西德外宾),男51岁,住院号2116,在西藏阿里地区途中,发冷发热、胸闷痛、干咳3天,当达海拔4280公尺时,突然出现心悸、呼吸困难,当时查体,口唇紫绀,T37.3℃,P112次/分、R26次/分。BP13.3/8kPa,双肺呼吸音粗糙,两肺底可闻及散在中小湿性罗音,以右肺明显,心界略向左扩大,心尖部可闻及Ⅱ级收缩期杂音,心率112次/分,律整,P_2A_2,辅助检查WBCl2.80X10~9/L,X光检查:双肺纹理粗,右肺下野见小片状阴影,以肺部感染给予吸氧抗炎对症治疗,经三天治疗,患者呼吸困难及发绀症状无明显缓解,考虑高原肺水肿的可能性较
Patient: Lauter (West Germany foreign guests), male 51 years old, hospitalization 2116, in the Ali area in Tibet, chills, chest pain, dry cough 3 days, when the elevation of 4280 meters, the sudden onset of heart palpitations, Breathing difficulties, when the physical examination, lips cyanosis, T37.3 ℃, P112 times / min, R26 times / min. BP13.3 / 8kPa, lungs, rough breathing sounds can be heard at the end of both lungs and scattered in the small wet rales to the right lung significantly, the heart slightly to the left to expand the apex can smell and Ⅱ systolic murmur, heart rate 112 / Min, law, P_2A_2, auxiliary examination WBCl2.80X10 ~ 9 / L, X-ray examination: coarse lung texture, the right lung to see a small shadow under the shade to pulmonary infection given oxygen and anti-inflammatory symptomatic treatment, Day treatment, patients with breathing problems and no obvious symptoms of cyanosis, consider the possibility of high altitude pulmonary edema than