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1 病历摘要例 1:男 ,4 1岁。“全身水肿 1年 ,加重 2 0余天 ,晕厥 2d”就诊 ,晕厥均于排便起身时发生 ,1～ 2min后恢复 ,既往有“肾病综合征”1年。查体 :HR 12 4次 /min ,R 2 5次 /min ,BP 10 0 / 6 0mmHg(1mmHg =0 .133kPa) ;口唇紫绀 ;双肺呼吸音清 ,无音 ,心律齐 ,第二
1 Medical Summary Example 1: Male, 4 1 year old. “Edema 1 year, aggravate more than 20 days, syncope 2d” treatment, syncope occurred in the defecation got up, 1 ~ 2min after the resumption of previous “nephrotic syndrome” for 1 year. Examination: HR 12 4 times / min, R 2 5 times / min, BP 10 0/60 mmHg (1mmHg = 0.133kPa); cyanosis of the lips; lung breath sounds clear, no sound, heart Qi Qi, the second