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病例:男,58岁。因间歇性心悸、气短、双下肢浮肿8年,全身发黄半月,于1991年4月26日入院。患者平素健康,从事轻体力劳动。1983年3月因受凉后出现心悸、气短、下肢浮肿,曾在省市多家医院就诊,诊为风心病二尖瓣双损。8年来经常犯病,每次住院经强心、利尿等治疗缓解.半月前上述症状加重伴全身黄染且见颈静脉怒张,双下肢凹陷性浮肿,心尖搏动弥散,心界扩大,心律失常.心尖区Ⅲ级双期杂音,以胸骨左缘三四肋间为明显,肝肋缘下1.5厘米,中等硬度,脾未触及。
Case: Male, 58 years old. Due to intermittent palpitations, shortness of breath, edema of both lower extremities for 8 years, yellow body half a month, was admitted on April 26, 1991. Patients usually healthy, engaged in light manual labor. 1983 March due to cold heart palpitations, shortness of breath, lower extremity edema, had multiple hospitals in provinces and cities for treatment, diagnosed as rheumatic mitral valve double loss. Eight years of regular illness, each hospitalized by cardiac, diuretic and other treatment to alleviate half of the above symptoms aggravate the body with yellow dye and jugular venous distention, depression of both lower extremities edema, apex beating dispersion, heart expansion, arrhythmia. Class III apex apical murmur to the left sternal intercostal space between three to four obvious rib under the edge of 1.5 cm, moderate hardness, spleen not touched.