摘要
<正>患者,男,78岁,70kg,ASAⅣ级。5年前无明显诱因出现呼吸困难,伴胸骨后辛辣感,活动后加重,不能平卧,诊断为急性心肌梗死、心力衰竭,给予冠脉造影及支架植入术。5d前因感冒后气短加重,且于夜间加重,坐起后好转,以"心力衰竭"收住我院心内科。入院查体:左肺底可闻及少许湿啰音,心界左下略扩大,双脚踝轻度指压痕。心脏超声提示:右房内径:41mm×60mm,右心室前后径19mm,左心房内径:33mm×56mm×63mm,左心室舒张期内径:57mm,收
引文
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