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患者(病案号259692),男,63岁,工人。主诉反复咳喘八年,心慌、气短一周,加重两天于1985年12月3日入院。患者于八年前感冒后咳嗽、咳痰,嗣后反复发作,尤以冬季明显,应用抗感染药物及气喘喷雾剂等可缓解。1983年在我院门诊曾诊为“慢性肺心病”。近半年经常胸憋、气短、咳嗽、咳痰,不能平卧,两下肢浮肿,1985年10月26日心电图(图1、2)由单纯右室肥厚转成完全性右束支传导阻滞及右室肥
Patient (case number 259692), male, 63 years old, worker. Cough repeated eight years of chief complaint, palpitation, shortness of breath week, increased two days in December 3, 1985 admission. Patients cough, sputum after a cold eight years ago, repeated attacks later, especially in winter, the application of anti-infectives and asthma spray can be alleviated. In 1983 in our hospital has been diagnosed as “chronic pulmonary heart disease.” Nearly half of the chest chest often, shortness of breath, cough, expectoration, can not lie down, both lower limb edema, October 26, 1985 electrocardiogram (Figure 1,2) from simple right ventricular hypertrophy to complete right bundle branch block and Right ventricular fat