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例1,女,53岁,农民。住院号20043,因肺心病合并肺部感染、全心衰入院。T36.7℃,P130次/分,R30次/分,BP16/9.3kRa。端坐张口呼吸,面色灰暗,口唇发绀,额头出汗,颈静脉怒张有搏动。肺气肿征(+),双肺满布干湿性罗音。双肺底有大量水泡音。心界不清,心率140次/分,律不齐,三尖瓣区可闻及Ⅳ/6级吹风样 SM.肝下缘在右肋下4cm,剑突下6cm,肝颈回流征(+),双下肢高度指凹性浮肿。WBC10.8×10~9/L,N82%,L18%,Hb180/L,RBC5×1.C~(12)/L。尿蛋
Example 1, female, 53 years old, farmer. Hospitalization 20043, due to pulmonary heart disease with pulmonary infection, heart failure admitted to hospital. T36.7 ° C, P130 beats / min, R30 beats / min, BP16 / 9.3kRa. Sit open mouth breathing, looking pale, lips cyanosis, forehead sweating, jugular vein engorgement pulsating. Emphysema sign (+), lung full of wet and dry rales. There are a lot of blisters on both lungs. Heart rate 140 beats / min, irregular arrhythmia, tricuspid valve area can be heard and Ⅳ / 6 hair style SM .Liver edge in the right rib 4cm, xiphoid 6cm, liver reflux syndrome (+ ), Refers to the height of both lower extremity edema. WBC10.8 × 10 ~ 9 / L, N82%, L18%, Hb180 / L, RBC5 × 1.C ~ (12) / L. Urine eggs