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病历摘要: 陈××,女,8岁,鄄城县人,因全身浮肿、乏力2月余,不能平卧、气喘加重4天于1978年3月31日入院。既往无重要疾病史。无外出史。查体:体温37℃,脉搏104次/分,血压90/70毫米汞柱。发育营养欠佳,神志清,端坐呼吸,呻吟不止。面部略浮肿,两颊潮红,口唇轻度紫绀,颈静脉怒张。轻度鸡胸。两肺呼吸音粗,心前区稍隆起,心界向两侧扩大,第一心音低钝,律整,心尖区可
Medical records summary: Chen × ×, female, 8 years old, Juancheng County, due to systemic edema, fatigue for more than 2 months, can not be supine, asthma aggravated 4 days in March 31, 1978 admission. No past history of important diseases. No history outside. Physical examination: body temperature 37 ℃, pulse 104 beats / min, blood pressure 90/70 mm Hg. Poor nutrition, conscious, sit and breathe, moaning more than. Facial slightly swollen, cheeks flushing, lips mild cyanosis, jugular vein engorgement. Mild chicken breast. Breath sounds rough two lungs, heart area slightly uplift, heart to both sides of the expansion, the first heart sound low blunt, law, apex area