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张某,女,66岁,已婚。以心慌、憋气10余天主诉于1998年12月2日入院。既往有冠心病史20年。10余天前无明显诱因出现心慌、胸闷、憋气,每次持续约数秒钟至2～3min,休息或含服硝酸甘油症状稍减轻。2d来发作频繁,入院时心电图示:Ⅲ度房室传导阻滞。查体:T36℃,R20次/min,P40次/min,BP20/12kPa,表情痛苦,扶入病房,神志清楚,自动体位,查体合作。心界稍向左扩大,心率40次/min,律齐,心音有国,各瓣膜听诊区未闻及病理性。
Zhang, female, 66 years old, married. With palpitation, suffocating more than 10 days of chief complaint on December 2, 1998 admission. Past history of coronary heart disease for 20 years. 10 days ago no obvious incentive to appear palpitation, chest tightness, suffocation, each lasting about several seconds to 2 ~ 3min, rest or sublingual nitroglycerin symptoms slightly reduced. 2d to frequent seizures, admission ECG: third-degree atrioventricular block. Physical examination: T36 ℃, R20 times / min, P40 times / min, BP20 / 12kPa, facial expression pain, into the ward, conscious, automatic position, physical examination cooperation. Heart slightly expanded to the left, heart rate 40 beats / min, law Qi, heart sounds have a country, the valve auscultation area is not known and pathological.