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患者 ,男性 ,6 4岁 ,因咳嗽、气急加重伴发热 1周于1996年 1月 12日入院。有慢性支气管炎病史 2 0多年 ,活动后气促 3年。诊断为ＣＯＰＤ(慢性阻塞性肺病 )急性发作、肺心病、心衰。查体 :神志清楚、半卧位、呼吸 2 8次 /分 ,体温 38.2°Ｃ ,血压 18.5 / 11ｋＰａ。颈静脉充盈
Patient, male, 6 4 years old, admitted to hospital on January 12, 1996 due to cough, aggravating aggravating with fever for 1 week. A history of chronic bronchitis 20 years, 3 years after the event of shortness of breath. Diagnosis of COPD (chronic obstructive pulmonary disease) acute attack, pulmonary heart disease, heart failure. Physical examination: conscious, semi-recumbent position, breathing 28 / min, body temperature 38.2 ° C, blood pressure 18.5 / 11kPa. Jugular vein filling