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患者,男,52岁。因活动中突然出现左面瘫、肢瘫2小时于1986年2月28日入院。2小时前,患者于排尿时突然跌倒,被人发现后急送我院。无头痛呕吐及昏迷。既往于1958年确诊为“风湿性心脏病,二尖瓣狭窄”。1966年做了二尖瓣分离术,术后出现房颤,以后多次复查,均有房颤。检查:P72次/分,BP120/80mmHg。神志清,左面瘫。双肺清,心尖区可触及舒张期细震颤,心界左侧增大,心尖区可闻及舒张期隆隆样杂音及收缩期Ⅱ级吹风样杂音。心率86次/分,节
Patient, male, 52 years old. Due to the sudden appearance of left facial paralysis, paralysis 2 hours in February 28, 1986 admission. 2 hours ago, the patient fell suddenly when urinating, was found to rush to our hospital. No headache and vomiting and coma. Previously diagnosed in 1958 as “rheumatic heart disease, mitral stenosis.” In 1966 to do mitral valve surgery, postoperative atrial fibrillation, after repeated review, have atrial fibrillation. Check: P72 beats / min, BP120 / 80mmHg. Consciousness, left paralysis. Lung clear, the apical area can reach the diastolic fine tremor, the left heart increased, the apex area can be heard and diastolic rumbling like murmur and systolic grade Ⅱ hair-like murmur. Heart rate 86 beats / min, section