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患者男,58岁,1993年12月1日因咳嗽、咳白色粘痰,夜间阵发性呼吸困难,心前区发作性闷痛持续约3~5分钟而就诊,以“冠心病、心绞痛、心房纤颤、心衰Ⅲ°、上呼吸道感染”收入院。查体:血压16/10kPa,脉搏80次/分,呼吸22次/分,体温35.6℃。末梢发绀。心界向左下扩大,心率100次/分,心律不齐;双肺中下野湿罗音;肝脾未触及。双下肢无水肿。心电示心房纤颤,心室率100次/分,Ⅱ、Ⅲ、aVF、V_3、V_5等导联ST-T水平下移0.05mV。给予纠正心衰,
Patient male, 58 years old, December 1, 1993 Due to cough, white cough, phlegm at night, paroxysmal nocturnal dyspnea, preeclamptic boring pain continued for about 3 to 5 minutes and treatment, “coronary heart disease, angina pectoris, Atrial fibrillation, heart failure Ⅲ °, upper respiratory tract infection ”income hospital. Physical examination: blood pressure 16 / 10kPa, pulse 80 beats / min, breathing 22 beats / min, body temperature 35.6 ℃. Peripheral cyanosis. Heart to the left to expand, heart rate 100 beats / min, arrhythmia; lungs in the wet rales of the middle and lower lobe; liver and spleen not touched. No lower extremity edema. ECG showed atrial fibrillation, ventricular rate 100 beats / min, Ⅱ, Ⅲ, aVF, V_3, V_5 and other lead ST-T level down 0.05mV. Given to correct heart failure,