1病例报告患者男,81岁。置入心室起搏器(VVI)10个月后出现心悸、气短、头胀痛、咳白色泡沫痰,且进行性加重,并伴喘鸣、双下肢水肿。查体:心率64/min,呼吸23次/min,血压85/63mmHg,体温37.8℃。球结膜充血,口唇发绀,颈静脉怒张,心界左下扩大,杂音不明显,双肺闻及哮鸣音及少许湿啰 1 case report Patient male, 81 years old. Cardiac palpitation, shortness of breath, headache, cough and white foamy sputum occurred after 10 months of implantation in the ventricular pacemaker (VVI), and progressive exacerbations were accompanied by wheezing and edema of both lower extremities. Physical examination: heart rate 64 / min, breathing 23 times / min, blood pressure 85 / 63mmHg, body temperature 37.8 ℃. Bulbar conjunctival hyperemia, cyanosis of the lips, jugular vein engorgement, lower left heart enlargement, murmur is not obvious, the lungs smell the wheeze and a little wet Hello