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患者男61岁。5年来经常脐周隐痛,1983年曾有黑便,因近一周来脐周疼痛加剧,每日黑便一次并头晕、眼花、心悸、怕热。1987年7月1日以上消化道出血待查入我院。患者近3年来经常心悸气短,1985年曾经超声心动图及心电图诊为二尖瓣脱垂,阵发性房颤,曾服用心得安等治疗仍时有发作。否认冠心病史。查体:消瘦,驼背,甲状腺无肿大,未闻血管杂音。心界不大,心律齐,心率88次/分,心尖部Ⅲ级收缩期吹风样杂音,肝肋下1.5cm,脾末及。血色素6.5g%,白细胞总数3700/mm~3,分叶44%,淋巴56%,血小板72000,纲赤0.4—1.5%,红细胞压积24ml%,红细胞平均体
The patient is 61 years old. 5 years often umbilical pain, 1983 had melena, because the recent week to umbilical pain intensified daily black once and dizziness, vertigo, palpitations, fear of heat. July 1, 1987 or more gastrointestinal bleeding to be admitted to our hospital. Patients with palpitations often short of breath in the past 3 years, in 1985 echocardiography and ECG were diagnosed as mitral valve prolapse, paroxysmal atrial fibrillation, had taken before treatment such as peace of mind still have seizures. Denied the history of coronary heart disease. Physical examination: weight loss, humpback, thyroid no swollen, unheard of vascular murmur. Heart is not, heart rate, heart rate 88 beats / min, apical grade Ⅲ systolic hair-like murmur, hepatic ribs 1.5cm, spleen and end. Hemoglobin 6.5g%, leukocyte count 3700 / mm ~ 3, leaf 44%, lymphatic 56%, platelet 72000, chingchi 0.4-1.5%, hematocrit 24ml%, average of erythrocyte