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患男,60岁。于入院前3月感腹胀、食欲减退、乏力,有时恶心。近1月症状加重并出现心悸、气短、胸闷、咳嗽,咯白色稀痰,不能平卧、双下肢水肿、尿量减少,无发热、胸痛及盗汗,于1995年2月23日住院,18岁患肺结核,3年前患高血压病,血压26.66～18.66/14.66～12kPa,间断服心痛定。 入院查体 T36.8℃,P84次/min,R23次/min,Bp14/10kPa。神志清,发育正常,高枕卧位。轻度贫血貌,口唇无发绀,颈静脉充盈,甲状腺不大。胸廓略呈桶状,两肺呼吸音粗,两肺底可闻及湿性罗音。心尖搏动不明显,心界向两侧扩大,心率84次/min,律不齐,偶有早搏,心音
Male, 60 years old. Feeling bloating and loss of appetite in March before admission, fatigue, and sometimes nausea. Nearly 1 month symptoms aggravated and palpitations, shortness of breath, chest tightness, cough, slightly thin phlegm, can not lie down, lower extremity edema, decreased urine output, no fever, chest pain and night sweats, in February 23, 1995 hospitalization, 18 years old Suffering from tuberculosis, 3 years ago suffering from hypertension, blood pressure 26.66 ~ 18.66 / 14.66 ~ 12kPa, intermittent serving heartburn set. Admission examination T36.8 ℃, P84 times / min, R23 times / min, Bp14 / 10kPa. Conscious, normal development, high pillow position. Mild anemia appearance, no cyanotic lips, jugular vein filling, thyroid is not large. Thorax slightly barrel-shaped, coarse breath sounds of both lungs, two lungs can be heard and wet rales. Apex beating is not obvious, heart to expand on both sides, heart rate 84 beats / min, irregular, occasional premature beats, heart sounds