患者贺××,男、16岁,社员,住院号81—0652。主诉心慌、气短二月;浮肿,不能平卧1周,于1981年3月31日入院。患者于1979年12月以来,先后两次都以感冒后心慌、气短,室上性心动过速住我院内科,诊断为“病毒性心肌炎”,经控制室上性心动过速,纠正心衰,病情好转出院。本次于入院前二月,又因感冒,心慌、气短,浮肿加重一周、不能平卧,当日下午咯血性泡沫痰,气急烦燥不安,大汗淋漓、于七时急诊入院。入院检查体温36.5℃,脉搏扪不清,呼吸40次,血压测不到,神志清楚,端坐呼吸,口唇、指甲重度发绀,皮肤高度浮肿,巩膜轻度黄染咽部充血,扁桃体不大,颈软,气管居中,颈静脉怒张,甲状腺不大,胸型正,两肺可闻及较密集中小水泡音及喘 Patients He × ×, male, 16 years old, member, hospital number 81-0652. Complained of palpitation, shortness of breath in February; edema, can not lie 1 week, March 31, 1981 admission. Patients since December 1979, has twice after a cold to be flustered, shortness of breath, supraventricular tachycardia live in our hospital, diagnosed as “viral myocarditis,” by the control of supraventricular tachycardia, correct heart failure The condition improved and discharged. In February this year before admission, due to a cold, palpitation, shortness of breath, edema aggravated one week, can not be supine, the afternoon hemoptysis bubble phlegm, irritability, sweating, seven emergency admission. Admission examination of body temperature 36.5 ℃, pulse palpable, breath 40 times, blood pressure can not be measured, conscious, sitting breathing, lips, nails severe cyanosis, skin edema, scleral mild yellow stained throat congestion, tonsil, Neck soft, tracheal center, jugular vein engorgement, thyroid is not large, chest type is positive, both lungs can be heard and more dense small and medium blisters sound and asthma