论文部分内容阅读
病历摘要患者,女,19岁。1978年开始有心慌、气短、头痛,时轻时重,未予诊治。1985年4月出现心前区痛、恶心、呕吐、乏力、软瘫,经对症处理,病情不断加重,于1985年12月11日收入我院。体检:T37.9℃,P100次/分,R36次/分,BP170/140mmHg;神清,呼吸急促,口唇青紫。双肺湿罗音,心尖搏动左腋前线六肋间,节律齐。肝肋下2cm,腹部未触及包块,未闻及血管性杂音。双下肢浮肿。病理反射未引出。双肾未触及。
Patient history, female, 19 years old. Beginning in 1978 palpitation, shortness of breath, headache, when light weight, no diagnosis and treatment. April 1985 appeared precordial pain, nausea, vomiting, fatigue, soft paralysis, symptomatic treatment, the condition continues to worsen, in December 11, 1985 income in our hospital. Physical examination: T37.9 ℃, P100 beats / min, R36 beats / min, BP170 / 140mmHg; Shen Qing, shortness of breath, bruising lips. Lung wet rales, apical beating left axillary line Sixth Floor, rhythm Qi. Liver ribs 2cm, abdomen did not touch the mass, no smell and vascular murmur. Lower extremity edema. Pathological reflex did not lead. Kidney not touched.