一位 74 岁呼吸困难的男性患者

A 74-Year-Old Man With Dyspnea.

机构信息

Department of Medicine, Albany Medical Center, Albany, NY.

Division of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY.

出版信息

Chest. 2023 Sep;164(3):e75-e78. doi: 10.1016/j.chest.2023.04.020.

DOI:10.1016/j.chest.2023.04.020

PMID:37689477

Abstract

A 74-year-old man presented to the ED with progressive dyspnea, orthopnea, and bilateral leg swelling for 2 months. He denied cough, hemoptysis, fever, night sweats, or weight loss. He had history of COPD and chronic atrial fibrillation. He had a 50 pack-year smoking history and had quit 7 years prior to presentation.

摘要

一位 74 岁男性因进行性呼吸困难、端坐呼吸和双侧腿部肿胀到急诊科就诊，症状持续 2 个月。他否认咳嗽、咯血、发热、盗汗或体重减轻。他有 COPD 和慢性心房颤动病史。他有 50 包年的吸烟史，在就诊前 7 年戒烟。