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张某,女,46岁,农民,陕西旬邑人。患者5年前有心慌、气短、头昏。两年前发现心跳缓慢。1年来时有晕厥,周身浮肿。当地拟诊为Ⅲ度房室传导阻滞,原因待定。经用强心、利尿剂后浮肿消退,但晕厥发作仍频,不能下床活动,遂住入当地医院。体检T 36℃,P 36次/分,R20次/分,Bp140/70mmHg。慢性病容,面色灰暗,口唇及颊部发绀,颈静脉无怒张,肺部无异常发现。心界向左扩大,心尖搏动位于左腋前线第
Zhang, female, 46 years old, farmer, Shaanxi Xunyi people. Patient palpitation 5 years ago, shortness of breath, dizziness. My heart rate was slow two years ago. 1 year fainted, whole body edema. Local diagnosis of Ⅲ degree atrioventricular block, to be determined. After using cardiac, diuretic edema subsided, but the seizure is still frequent, can not get out of bed activity, then admitted to the local hospital. Physical examination T 36 ℃, P 36 beats / min, R20 beats / min, Bp140 / 70mmHg. Chronic illness, pale, lips and cheeks cyanosis, jugular vein without tension, no abnormal lungs found. Heart to the left to expand, apical beating in the left anterior axillary line