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患者男性,40岁。因活动心慌憋气10余年.胸骨后疼痛3小时,于1991年11月7日急诊入院。10余年前即有活动时心慌、憋气、休息后即缓解,未介意,一直从事轻工作。近七、八年上述症状加重,曾就医诊断为风湿性心脏病。二尖瓣狭窄并关闭不全,重时下肢浮肿,间断服地高辛及双氢克尿塞,服后症状缓解。近1年来上述症状加重,脉搏不规律,休息时亦感心慌憋气,活动受限。3小时前因饱食突感胸骨后疼痛,向左肩部放射,伴胸闷憋气,出冷汗,而急来院。入院检查:体温35.9℃,脉搏80次,不齐,血压14/10kPa。二尖瓣面容,颈静脉未见怒张,两肺底部可闻及少许湿罗音,心尖搏动弥散,呈抬举性,心界
Male patient, 40 years old. Because of activity palpitation suffocation for more than 10 years after the sternum pain for 3 hours, in November 7, 1991 emergency admission. More than 10 years ago, there are activities that are flustered, suffocated, that is, to ease after a break, did not mind, has been engaged in light work. Nearly seven or eight years, the symptoms worsened, had medical diagnosis of rheumatic heart disease. Mitral stenosis and closed incomplete, weight edema of the lower limbs, intermittent service digoxin and hydrochlorothiazide, service symptoms relieved. The past year, the above symptoms worsened, irregular pulse, rest, feel panicked and suffocated, limited activities. 3 hours ago because of feeding sensation breast sore after the pain, left shoulder radiation, with chest tightness, suffocation, a cold sweat, and anxious to hospital. Admission examination: body temperature 35.9 ℃, pulse 80 times, missing, blood pressure 14 / 10kPa. Mitral valve surface, no jugular jerk, the bottom of both lungs can be heard and a little wet rales, apex pulsation dispersion, was lifting, the heart