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患者女,79岁,汉族,因头晕20年,心悸、气短2年,加重1周入院。患者确诊高血压已20年,未正规治疗。近两年因左心衰竭曾住院2次。体检:体温36℃,脉搏82次/分,呼吸25次/分,血压16/10.7kPa。较胖,神志清楚,双肺下野散在细湿水泡音,心界向左下扩大,心率160次/分,房颤律,心尖部Ⅱ级收缩期吹风样杂音,主动脉瓣区可闻及Ⅱ级收缩期杂音及舒张期叹息样杂音,肝脾肋下未及,
Female, 79 years old, Han nationality, dizziness 20 years, palpitations, shortness of breath for 2 years, increased 1 week admission. Patients diagnosed with hypertension has been 20 years, not formal treatment. In the past two years due to left heart failure hospitalized 2 times. Physical examination: body temperature 36 ℃, pulse 82 beats / min, breathing 25 beats / min, blood pressure 16 / 10.7kPa. More fat, conscious, lungs scattered in the lungs under the fine wet blisters sound, the heart to the left to expand, the heart rate 160 beats / min, atrial fibrillation law, apical Ⅱ stage systolic hair-like murmur, aortic valve area can be heard and Ⅱ Systolic murmur and diastolic sighs, liver and spleen ribs,