Haw Alexandra, Kotler Ronald, Steinberg Kevin
Department of Internal Medicine, Pennsylvania Hospital of the University of Pennsylvania Health System, Philadelphia, PA.
Department of Internal Medicine, Pennsylvania Hospital of the University of Pennsylvania Health System, Philadelphia, PA.
Chest. 2017 Nov;152(5):e121-e124. doi: 10.1016/j.chest.2017.06.015.
A 47-year-old man with a medical history of hypertension, diabetes, hyperlipidemia, and OSA presented with a 7- to 10-day history of progressively worsening dyspnea on exertion, with a walking distance of 60 feet. He had bilateral lower-extremity swelling and was prescribed furosemide without clinical improvement. At baseline, he used three pillows for sleeping. The patient was noncompliant with his CPAP treatment. He had no smoking history and was retired from working in technology sales. On review of systems, he denied cough, chest pain, hemoptysis, fevers, chills, or weight loss.
一名47岁男性，有高血压、糖尿病、高脂血症和阻塞性睡眠呼吸暂停病史，出现劳力性呼吸困难进行性加重7至10天，行走距离为60英尺。他双侧下肢肿胀，曾服用呋塞米但临床症状无改善。基线时，他睡觉时用三个枕头。该患者未遵医嘱进行持续气道正压通气（CPAP）治疗。他无吸烟史，已从技术销售岗位退休。系统回顾时，他否认咳嗽、胸痛、咯血、发热、寒战或体重减轻。
