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患者,王××,男,42岁,工人,1990年12月7日因间歇性心悸气短8个月,加重伴双下肢浮肿15天入院。入院前未用过洋地黄药物。查体:T38℃,P134次/分,R20次/分,BP14/11kPa。发育正常,慢性病容,呈半坐卧位,神志清楚。面颊潮红,口唇发绀、颈静脉怒张。心界向左、右两侧扩大。心率:152次/分,律不齐。心尖区第一心音减弱,可闻及雷鸣样舒张期杂音、Ⅲ～Ⅳ级粗糙吹风样收缩期杂音,肺动脉第二心音亢进,双肺底少量水泡音,肝大右肋下2cm,脾未及。双下肢可凹性
Patient, Wang × ×, male, 42 years old, worker, December 7, 1990 due to intermittent shortness of breath palpitations 8 months, aggravated with edema of the lower extremities 15 days admitted. No digitalis medication was used before admission. Physical examination: T38 ℃, P134 times / min, R20 beats / min, BP14 / 11kPa. Normal development, chronic disease, was half sitting position, conscious. Cheeks flushing, cyanotic lips, jugular vein distention. Heart to the left and right sides to expand. Heart rate: 152 beats / min, irregularities. Apex of the first heart sound weakened, can be heard and thunder-like diastolic murmur, Ⅲ ~ Ⅳ rough hair-style systolic murmur, pulmonary heart disease, second heart sound hyperactivity, a small amount of blisters at the end of the lungs, and. Both legs can be concave