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病历摘要患者女性,53岁,因反复心悸,四肢关节酸痛28年,发作性胸闷、气短10h入院。近2年曾先后三次发作“房颤”经用“西地兰”静脉注射复律。入院查体:BP140/96,P86。一般好,双肺呼吸音清,心界向左下扩大,心率102,呈房颤律,心前区可闻Ⅲ级收缩期吹风样及舒张期隆隆样杂音,肝脾未扪及,肝颈静脉回流征(一),下肢不肿。神经系统检
Summary of medical records Female patient, 53 years old, due to repeated palpitations, joint pain in limbs for 28 years, paroxysmal chest tightness, shortness of breath 10h admission. In the past 2 years, it had three episodes of “atrial fibrillation” with “cedilanid” intravenous cardioversion. Admission examination: BP140 / 96, P86. Generally good, breath sounds clear lungs, the heart bound to the left to expand the heart rate 102, atrial fibrillation law, precordial area can be heard grade Ⅲ systolic hair-style and diastolic rumbling like noise, liver and spleen not palpable, the hepatic jugular vein Reflux (a), lower extremity is not swollen. Neurological examination