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例1,男,67岁。因反复发作咳喘6年余,近半月来加重,纳差,意识逐渐不清3天,于1989年2月16日转入我院。入院查体:T37.8℃,P110次,R24次,BP 20.8/12KPa。神志不清,阵阵烦躁。球结膜未见充血水肿。口唇发绀,颈静脉怒张,气管居中。桶状胸,双肺闻及散在干湿啰音穆?10次,早搏8～10次,心音低钝,P_2>A_2。肝于右肋缘下4cm,触痛(+),脾未们及,腹部移动性浊音(-)。双下肢浮肿,双下肢膝反射消失。病理反射(-)。肝功能正常,BUN6.25mmol/L,Cr 123.7umol/L,血糖6.6mmol/L,血K~+4 mmol/L,Na~+105mmol/L, Cl-75
Example 1, male, 67 years old. Due to recurrent cough and asthma more than 6 years, nearly half a month to aggravate, anorexia, consciousness gradually unclear 3 days, on February 16, 1989 into our hospital. Admission examination: T37.8 ℃, P110 times, R24 times, BP 20.8 / 12KPa. Confusion, bursts of irritability. Bulbar conjunctiva no congestion and edema. Cyanosis lips, jugular vein engorgement, tracheal center. Barreled chest, lungs scattered and scattered in dry and wet rales Mu? 10 times, premature beats 8 to 10 times, low heart sound blunt, P_2> A_2. The liver under the right costal margin 4cm, tenderness (+), splenomegaly, and abdominal dullness (-). Lower extremity edema, lower extremity knee reflex disappeared. Pathological reflex (-). Normal liver function, BUN6.25mmol / L, Cr 123.7umol / L, blood sugar 6.6mmol / L, blood K ~ +4 mmol / L, Na ~ +105 mmol / L, Cl-75