论文部分内容阅读
左心衰竭的主要病理基础为肺瘀血、肺水肿。肺炎和肺水肿均有咳嗽、气急、口唇青紫,肺部湿性罗音等相同的临床表现,稍有不慎可因误诊而产生不良后果,重者可致死。 1.病历简介:患者男,39岁。因咳嗽、气急1周,于1987年12月20日下午5时30分入院。查体:体温37.5℃,脉搏110次/分,呼吸32次/分,血压12.3/9.3 kPa(92/70毫米汞柱)。神志清楚,高枕卧位,面色苍白,口唇发绀,颈静脉无怒张。两肺呼吸音粗,肺底部可闻少量湿罗音,心率110次/分,律齐,心音略钝,未闻及杂音,腹软,肝脾未触及,下肢无水肿。血化验:白细胞10400/立方毫米,中性
The main pathological basis of left heart failure is blood stasis and pulmonary edema. Both pneumonia and pulmonary edema have the same clinical manifestations of cough, shortness of breath, purple bruising of the lips and wet rales of the lungs, which may result in adverse consequences due to misdiagnosis. In severe cases, they may be lethal. 1. Medical records: male patient, 39 years old. Due to cough, shortness of breath for 1 week, on December 20, 1987 at 5.30 pm on admission. Examination: body temperature 37.5 ℃, pulse 110 beats / min, breathing 32 beats / min, blood pressure 12.3 / 9.3 kPa (92/70 mmHg). Consciousness, high pillow position, pale, lips cyanosis, jugular vein without tension. Breath sounds rough two lungs, lungs can smell a small amount of wet bottom rales, heart rate 110 beats / min, law Qi, heart sound blunt, no smell and noise, abdominal soft, liver and spleen not touched, lower extremity no edema. Blood tests: white blood cells 10400 / cubic millimeter, neutral