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例1:男,58岁。因反复咳喘13年,加重并呼吸困难5天,于1990年12月12日入院。查体:T37.8,R24,Bp18.4/11.6kPa。神志清,呼吸促迫,半坐位,口唇发绀,球结膜轻度水肿,颈静脉怒张明显。有肺气肿征,双肺布满哮鸣音及小水泡音。剑突下见心脏搏动,心浊音界缩小,心率98次/分,律整,心音减弱,肺动脉瓣区第二音增强。腹软,肝右肋下2.5cm,质中等,肝颈返流征阴性。Hb155g/L,WBC10.2×10~9/L,N0.76,L0.22。ECG:肺性P波/右室肥厚。入院诊断:慢性支气管炎(喘息型)急性
Example 1: Male, 58 years old. Due to repeated cough 13 years, aggravating and breathing difficulties for 5 days, on December 12, 1990 admission. Physical examination: T37.8, R24, Bp18.4 / 11.6kPa. Consciousness, forced breathing, semi-sitting, cyanotic lips, conjunctival mild edema, jugular vein engorgement. Emphysema sign, lungs covered with wheeze and small blisters sound. Xiphoid see cardiac beats, heart dullness narrowing, heart rate 98 beats / min, rhythm, heart sound weakened, pulmonary valve area second sound enhancement. Abdominal soft, right hepatic ribs 2.5cm, medium quality, liver reflux sign negative. Hb155g / L, WBC10.2 × 10 ~ 9 / L, N0.76, L0.22. ECG: Pulmonary P wave / right ventricular hypertrophy. Admission diagnosis: Chronic bronchitis (wheezing) Acute