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患者女,47岁。患风湿性心脏病10余年,经常因劳累、受凉出现咳嗽、气喘、下肢浮肿,严重时则不能平卧。入院前5天心悸、心慌、气短。3天来加重,并伴有咳嗽、喀白色粘痰,无喀血,不能平卧。曾在某公社卫生院就诊,口服洋地黄毒甙0.1mg 3次,但症状不能缓解转来我院。体检:体温35℃,脉搏140次/分,呼吸32次/分,血压“0”。神清合作,一般情况差,半卧
Patient female, 47 years old. Suffering from rheumatic heart disease more than 10 years, often due to fatigue, cold appeared cough, asthma, lower extremity edema, severe can not lie down. 5 days before admission palpitations, palpitation, shortness of breath. 3 days to aggravate, and accompanied by cough, sticky white phlegm, no blood card, can not lie down. In a commune clinic, oral digitoxin 0.1mg 3 times, but the symptoms can not be relieved transferred to our hospital. Physical examination: body temperature 35 ℃, pulse 140 beats / min, breathing 32 beats / min, blood pressure “0”. Clear cooperation, the general situation is poor, half lying