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患者男性,54岁,因劳累后心悸、气短24年加重伴少尿、浮肿2个月.于1993年2月3日入院.体检:BP120/75mmHg(16/10kPa),半卧位,口唇无发绀,颈静脉怒张,双肺呼吸音粗,心尖搏动弥散,心界向两侧扩大,心率80次/min,房颤节律,心尖部闻及双期杂音,主动脉瓣区、三尖瓣区闻及Ⅲ级收缩期杂音,肝肿大,右助下3cm,双下肢轻度凹陷性水肿.超声心动图示风湿性心脏瓣膜病,重度二尖瓣狭窄并关闭不全,主动脉瓣关闭不全,三尖瓣关闭不全.入院后给强心、利尿及扩血管药物等治疗,心衰
Male, 54 years old, due to fatigue after palpitations, shortness of breath 24 years aggravating with oliguria, edema for 2 months, admitted on February 3, 1993. Physical examination: BP120 / 75mmHg (16 / 10kPa), semi- Cyanosis, jugular vein distention, lung breath sounds thick, apex pulsation dispersion, the heart bound to both sides to expand, heart rate 80 beats / min, atrial fibrillation rhythm, apex area smell and double phase noise, aortic valve area, tricuspid valve Regional hearing and grade Ⅲ systolic murmur, hepatomegaly, right help under 3cm, mild depression of both lower extremity echocardiography echocardiography rheumatic heart disease, severe mitral stenosis and regurgitation, aortic regurgitation , Tricuspid regurgitation .After admission to cardiac, diuretic and vasodilator drugs such as treatment, heart failure