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患者男性,75岁。咳嗽咯痰20余年。既往曾多次在本院内科接受治疗,经病史查体和作X线胸片、二维多普勒超声心动图等检查,诊断为慢性支气管炎、阻塞性肺气肿、肺心病。本次因咳痰加重伴气促、水肿1个月入院。查体:T37.8℃,P102次/min,R30次/min,BP16.0/9.3kPa(120/70mmHg)。神志清,半卧位,唇、指端紫绀,颈静脉充盈,肺气肿征,双肺可闻及散在干、湿鸣,心率102次/min,律齐,P_2亢进,
Male patient, 75 years old. Cough sputum more than 20 years. Previously many times in our hospital for medical treatment, the history of examination and for X-ray, two-dimensional Doppler echocardiography and other tests, diagnosis of chronic bronchitis, obstructive pulmonary emphysema, pulmonary heart disease. The increase due to expectoration expectoration, edema 1 month admission. Examination: T37.8 ℃, P102 times / min, R30 times / min, BP16.0 / 9.3kPa (120/70 mmHg). Consciousness, semi-recumbent position, lip, finger cyanosis, jugular vein filling, emphysema sign, lungs can be heard scattered and dry, wet Ming, heart rate 102 beats / min, law Qi, P 2 hyperthyroidism,