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赵×,男,70岁,以咳嗽、咯痰20年,心慌、气短伴消瘦一月余,于1982年6月3日入院。20年来咳嗽,咯白色痰,天冷反复发作。1967年受刺激后,心前区痛,向左肩部放射,持续数分钟,伴有出汗,休息后缓解,心电图示。陈旧性前间壁心肌梗塞。近一月来常感心慌,气短,乏力,消瘦,体重下降10多斤。查体:体温36.8℃,脉搏128次/分,呼吸24次/分,血压118/80mmHg。面容憔悴,消瘦,神清,自动体位。皮肤起皱,缺乏弹性。眼球凹陷,眼睑下垂,甲状腺不大。胸呈桶状,叩诊过度反响,呼吸音减低,无干湿罗
Zhao ×, male, 70 years old, with cough, expectoration for 20 years, palpitation, shortness of breath with wasting more than a month, in June 3, 1982 admission. Cough for 20 years, slightly white sputum, cold weather recurrent. After being stimulated in 1967, precordial pain, radiation to the left shoulder for several minutes, accompanied by sweating, rest after remission, ECG. Old anterior wall myocardial infarction. Nearly a month to feel flustered, shortness of breath, fatigue, weight loss, weight loss 10 kilos. Physical examination: body temperature 36.8 ℃, pulse 128 beats / min, breathing 24 beats / min, blood pressure 118 / 80mmHg. Gaunt face, thin, clear, automatic position. Skin wrinkles, lack of elasticity. Eye depression, ptosis, thyroid is not large. Chest was barrel, percussion overreaction, reduced respiratory sounds, no wet Luo