论文部分内容阅读
患者,男,61岁,农民,住院号74451。因胸闷、咳嗽、心慌、心悸10余天,加重伴气促,不能平卧二天于1989年1月5日下午5时入院。病后低热、消瘦。既往有咳嗽史,否认有甲亢、肾炎、高血压病及心脏病史,无嗜烟。体查:T37.6℃,R26次/分,P70次/分,Bp17.3/10.6kPa。神清消瘦,口唇轻度发绀,颈软,气管居中,甲状腺无肿大,双侧胸下部饱满,两侧中下肺呼吸音减弱或消失,中肺部左可闻及胸膜摩擦音。心率106次/分,律不齐,强弱快慢不一,各瓣膜区无杂音,肝肋下2cm。实验室检查:总胆固醇3.5mmol/L,甘油三脂0.48mmol/L。血钾、钙、钠、氯化物均正常。A超示双侧9.10肋间积液入院后即给50%GS+西地兰0.4mg。静脉慢注,服速尿,肌苷、丹参片等
Patient, male, 61 years old, farmer, hospital number 74451. Due to chest tightness, cough, palpitation, palpitations more than 10 days, increased with shortness of breath, can not be supine two days at 5:00 on January 5, 1989 admitted to hospital. After the disease fever, weight loss. Past history of cough, deny hyperthyroidism, nephritis, hypertension and heart history, no addiction. Physical examination: T37.6 ℃, R26 beats / min, P70 beats / min, Bp17.3 / 10.6kPa. Shen Qing weight loss, lips mild cyanosis, neck soft, tracheal center, thyroid enlargement, both sides of the chest full, both sides of the lung breath sounds weakened or disappeared, the left lung can be heard and pleural friction sound. Heart rate 106 beats / min, irregular, varying in strength and weakness, the valve area without noise, liver ribs 2cm. Laboratory tests: total cholesterol 3.5mmol / L, triglyceride 0.48mmol / L. Potassium, calcium, sodium, chloride are normal. A ultrasound showed bilateral 9.10 intercostal effusion to give 50% GS + cedilanid 0.4mg. Slow intravenous injection, serving furosemide, inosine, Danshen tablets and so on