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患者,女,48岁,因与人吵架,服奎尼丁6克,半小时后急症入院。既往患风心病二十余年,1973年曾在本院做二尖瓣分离术,平时有心慌、气短及下肢轻度浮肿。查体:血压90/60、神志清,右胸前有一长20厘米的手术疤痕,双肺呼吸音稍粗,肺底偶闻及水泡音。心尖搏动不明显,心界
Patients, female, 48 years old, quarrel with others, serving quinidine 6 grams, half an hour after emergency admission. Past suffering from rheumatic heart disease more than 20 years, 1973 in our hospital did mitral valve surgery, usually have palpitation, shortness of breath and lower extremity mild edema. Physical examination: blood pressure 90/60, clear consciousness, right chest has a 20 cm long surgical scar, breath sounds slightly thick lungs, lung occasionally smell and blisters sound. Apex beat is not obvious, heart