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患者女,39岁,诊断为“风心病,二尖瓣狭窄合并关闭不全,房颤”。近2周前产后出现胸闷、心悸入院。患者半卧位,颈静脉怒张。心率97次/分,脉搏87次/分,心律绝对不齐,心音强弱不等,心前区可闻及收缩期Ⅳ级杂音,舒张期Ⅱ级杂音。双肺呼吸音粗糙。腹平软;肝肋下3cm。双下肢轻度浮肿。心电图示房颤,心室率平均97次/min。予地高辛0.5
Female patient, 39 years old, diagnosed as “rheumatic heart disease, mitral stenosis with incomplete closure, atrial fibrillation.” Nearly two weeks before delivery, chest tightness, palpitations admitted. Semi-supine patients, jugular vein engorgement. Heart rate 97 beats / min, pulse 87 beats / min, heart rate is absolutely missing, heart sound intensity range, precordial area can be heard and systolic grade Ⅳ murmur, diastolic Ⅱ level murmur. Breathing sounds rough lungs. Abdomen soft; liver ribs 3cm. Lower extremity mild edema. Atrial fibrillation shows atrial fibrillation, ventricular rate average 97 times / min. To digoxin 0.5