患者,男,40岁,因咳嗽、气短、下肢水肿1个月、加重伴发热4天于1994年4月6,日收入院。查体:T38.2℃,P96次/分,R26次/分,BP16/10kPa。神志清,湍坐体位,全身皮肤粘膜无出血点及瘀斑,浅表淋巴结无肿大。双眼睑浮肿,巩膜轻度黄染,口唇紫绀,颈静脉怒张。桶状胸,胸骨轻度压痛,双肺呼吸音,左肺下野呼吸音消失,右肺可闻及少许湿性罗 The patient, male, 40 years old, was admitted to the hospital on April 6, 1994 due to cough, shortness of breath, edema of the lower extremities for 1 month, and aggravated fever for 4 days. Physical examination: T38.2°C, P96 beats/min, R26 beats/min, BP16/10kPa. Clear minded, sitting position, body skin and mucous membranes without bleeding and petechiae, superficial lymph nodes without swelling. Eyelid edema, mild yellow sclera, cyanotic lips, jugular vein engorgement. Barrel chest, slight tenderness of the sternum, breath sounds of both lungs, disappearance of breath sounds in the left lung field, and slight dampness in the right lung.