罗某,女,32岁。因全身浮肿、怕冷、食欲减退三年,反复心悸、胸闷一年余入院。查体:T36℃,Bp13.3/9.1kPa,体重64kg。慢性病容,动作迟缓,甲状腺无增大,皮肤粗糙,全身呈非凹陷性浮肿。心音弱,HR77r/min,频发早搏呈二联律,心尖部闻及Ⅱ～Ⅳ级收缩期吹风样杂音,未闻及心包摩擦音。心电图示频发室早二联律,心肌损伤;胸片示心胸比例0.54;心动超声未见心包积液。胆固醇 Luomou, female, 32 years old. Due to systemic edema, cold, loss of appetite for three years, repeated heart palpitations, chest tightness more than a year admitted. Physical examination: T36 ℃, Bp13.3 / 9.1kPa, weight 64kg. Chronic disease, slow movement, no increase in the thyroid gland, rough skin, the body was non-pitting edema. Heart sound is weak, HR77r / min, frequent premature beats are two associated law, apical smell and Ⅱ ~ Ⅳ systolic hair-like murmur, no smell and pericardial friction fricative. Electrocardiogram frequency of hair room early couplets, myocardial injury; chest chest showed heart rate 0.54; Echocardiography no pericardial effusion. cholesterol