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高正今(解放军324医院)报道:患者,女,30岁。因慢性咳嗽10年,心慌1年,加重伴双下肢浮肿1月入院。查体:T 37.4℃,P 112次/分,R 26次/分,BP 14/9kPa,慢性重病容,神清,端坐呼吸,紫绀明显,桶状胸,两肺散在哮鸣音,中下肺湿性罗音,心尖区和三尖瓣区均可闻及Ⅰ级收缩期杂音,肝肋下2cm,双下肢浮肿(++)。胸片见两肺纹理粗多、紊乱,两下肺片絮状模糊阴影,右室扩大。入院后持续吸氧,反复多种抗生素联合应用,静滴地塞米松、氨茶碱、输血
Gao Zhengjin (People’s Liberation Army 324 Hospital) reported: patients, female, 30 years old. Due to chronic cough for 10 years, palpitation for 1 year, aggravated with edema of lower extremities January admission. Examination: T 37.4 ℃, P 112 beats / min, R 26 beats / min, BP 14 / 9kPa, chronic severe disease, Shen Qing, sitting breathing, cyanosis was obvious, Lower lung wet rales, apex and tricuspid valve area can be heard and Ⅰ systolic murmur, liver ribs 2cm, both lower extremity edema (++). Chest radiographs to see coarse and more than two lungs, disorders, flocculus shadow two lung shadow, right ventricular enlargement. Oxygen continued after admission, repeated antibiotic combinations, intravenous dexamethasone, aminophylline, blood transfusion