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患者女,42岁,已婚。1982年3月19日因慢性血吸虫病入院。患者9年来劳动后心悸、气急,一年来胸闷。体检:体温36.8℃,呼吸18,血压120/70mm,唇轻度紫绀,心界向左下扩大,心率55/分,律齐。二尖瓣区可闻吹风样收缩期杂音及隆隆样舒张期杂音,各为(?)~(?)级。P_2>A_2。肺有散在干啰音。肝肋下2指,剑突下3指,无压痛,脾脏未及。化验:血红蛋白11g、红细胞410万;白细胞9100,
Female patient, 42 years old, married. March 19, 1982 due to chronic schistosomiasis hospitalization. Patient 9 years after work palpitations, shortness of breath, chest tightness year. Physical examination: body temperature 36.8 ℃, breathing 18, blood pressure 120 / 70mm, lip mild cyanosis, heart to expand to the left, heart rate 55 / min, law Qi. Mitral valve area can be heard hair-like systolic murmur and rumbling diastolic murmur, each (?) ~ (?) Level. P_2> A_2. Pulmonary dry rales scattered. Liver ribs 2 refers to the three means under the xiphoid, no tenderness, the spleen has not yet. Laboratory tests: hemoglobin 11g, erythrocytes 4.1 million; white blood cells 9100,