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本文报告本院自一九六二年一月到一九六三年八月,共遇到慢性肺原性心脏病(肺气肿六例、重症肺结核九例)心力衰竭合并呼吸性酸中毒十五例。诊断根据为:(一)病史、休征及X线检查确定为原发性肺部疾病;(二)X线及心电图确定右心室肥大和从临床确定充血性心力衰竭征象;(三)精神、神经方面的改变及血二氧化碳容量增高。症状与体征: 本组病史中都有十年以上慢性咳嗽病史,并伴有吐黄痰及呼吸困难。入院后主要体征为肺气肿、肺纤维化及充血性心力衰竭征象(见表一)。
This article reports that from January 1962 to August 1963, a total of six cases of chronic pulmonary heart disease (emphysema in six cases, severe tuberculosis in nine cases), heart failure accompanied by respiratory acidosis Five cases. Diagnosis based on: (a) medical history, rest and X-ray examination identified as primary lung disease; (two) the X-ray and electrocardiogram to determine right ventricular hypertrophy and clinical signs of congestive heart failure; (three) the spirit, Neurological changes and increased blood carbon dioxide capacity. Symptoms and signs: The history of this group have a history of more than 10 years of chronic cough, accompanied by spit phlegm and breathing difficulties. After admission, the main signs of emphysema, pulmonary fibrosis and signs of congestive heart failure (see Table I).