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病历摘要: 边某某,女,19岁,心慌,气短7年加重一周,拟肾性高血压伴严重心衰,1985年12月11日急诊收住军区兰州总医院泌尿外科。自1978年以来活动后心慌,气短,胸前难受,偶有头晕眼花,未行任何治疗:1982年后上述症状加重,曾给予对症处理,病情无明显好转。今年4月份出现心前区疼痛,恶心,呕吐,左背部胀痛,乏力,软瘫。在某院经输液降压等综合性治疗,因病情进行性恶化而转院诊治。 体格检查:T37.8℃,P100次/分,R36次/分BP170/140mmHg。神志清楚,营养差,呼吸急促,不能平卧,巩膜轻度黄染,皮肤未见出血点和黄染,两颊潮红,口唇青紫,双睑浮肿。气管居中,双肺布满湿罗音。心尖搏动左腋前线6肋间,心律齐,未闻及病理性杂音。肝肋下2cm,全腹未
Medical records Abstract: Side XX, female, 19 years old, palpitation, shortness of breath for 7 weeks to aggravate a week, to be renovascular hypertension with severe heart failure, December 11, 1985 emergency room admitted to the Department of Urology, Lanzhou General Hospital. Since 1978 after the activities of palpitation, shortness of breath, chest uncomfortable, sometimes dizzy, without any treatment: the symptoms worsened after 1982, had given symptomatic treatment, the condition was not significantly improved. Appeared in April this year, precordial pain, nausea, vomiting, left back pain, fatigue, soft paralysis. In a hospital transfusion hypotension and other comprehensive treatment, due to the progressive deterioration of the condition and transferred to hospital for diagnosis and treatment. Physical examination: T37.8 ℃, P100 beats / min, R36 beats / min BP170 / 140mmHg. Consciousness, poor nutrition, shortness of breath, can not lie down, scleral mild yellow dye, the skin no bleeding and yellow dye, cheeks flushing, bruising lips, double eyelid edema. Tracheal center, lungs covered with wet rales. Apex beat left axillary line 6 intercostal, rhythm Qi, no smell and pathological murmur. Liver ribs 2cm, the whole abdomen