论文部分内容阅读
患者,男,70岁,干部。因阵发性胸闷、心悸、气短10余年,加重一周。于1994—06—30入院。查体:体温36℃,脉搏80次/min,呼吸22次/min,血压19.9/13.3kPa,慢性病容,口唇略发绀,颈静脉轻度怒张,胸廓正常右肺语颤减弱,右肺叩诊浊音,听诊呼吸音弱。心界略大,心率126次/min,律不规则,第一心音强弱不等,心尖区可闻及Ⅲ级收缩期杂音,主动脉瓣第二心音亢进。腹平坦,肝大助下2.0cm,肝区轻度压痛,振水音阳性,双下肢水肿明显。神经反射未见异常。检查心电图示:快速房颤,ST—T 改变。患者既往有高血压病,冠心病史多年。根据病史及体格检查
Patient, male, 70 years old, cadre. Due to paroxysmal chest tightness, palpitations, shortness of breath more than 10 years, an increase of one week. In 1994-06-30 admitted to hospital. Examination: body temperature 36 ℃, pulse 80 beats / min, breathing 22 beats / min, blood pressure 19.9 / 13.3kPa, chronic disease, slightly cyanotic lips, mild jugular vein engorgement, right thorax normal right fibrillation weakened, right lung percussion Dull sounds, auscultation breath sounds weak. Heart slightly larger, heart rate 126 beats / min, irregular law, the first heart sound intensity range, apex area can be heard and Ⅲ systolic murmur, aortic valve second heart sound hyperthyroidism. Abdomen flat, liver big help 2.0cm, mild liver tenderness, vibration sound positive, obvious lower extremity edema. No abnormal neurological reflex. Check ECG: rapid atrial fibrillation, ST-T changes. Patients with previous hypertension, coronary heart disease history for many years. According to medical history and physical examination