<正>患者女,69岁。因“二尖瓣二次置换术后胸闷1月,右侧肢体活动不利10天”为进一步康复治疗入我院。既往有风湿性瓣膜病、持续性心房颤动病史、二尖瓣生物瓣二次置换术后。入院查体:神志清,精神状态尚可,对答切题,查体合作。双肺叩诊过清音,未闻及明显干湿啰音,律不齐,心率:110次/分,未闻及杂音,双下肢无水肿。患者入院后查:pro-BNP:2487.4pg/m L,心肌生化标记物及电解质正常,血钾4.91mmol/L。
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