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患者,男,72岁.住院号5976.因高血压史30a,发作性心前区疼痛3年,加重半月于1997年4月22日入院.体检:BP28/15kPa,双肺呼吸音清晰,HR75次/min,律齐,各瓣膜区未闻及杂音,A_2>P_2,肝脾未触及,下肢无水肿.血、尿、便常规正常,血糖正常,血流变正常.心电图示心肌缺血,超声心动图示左室肥厚.诊断为:高血压病,高心病并冠心病.给予硝酸异山梨酯(消心痛)、巯甲丙脯酸(开搏通)及肠溶乙酰水杨酸(阿司匹林)口服,5%葡萄糖注射液
Patient, male, age 72. Inpatient number 5976. Because of a 30-year history of hypertension, episodes of pre-ecause pain 3 years and exacerbations of half-moon admission on April 22, 1997. Physical examination: BP28 / 15kPa, Times / min, regular Qi, the valve area has not heard of noise, A_2> P_2, liver and spleen not touched, lower extremity no edema, blood, urine, they are routinely normal blood glucose normal blood flow normal ECG showed myocardial ischemia, Echocardiography showed left ventricular hypertrophy. Diagnosis: hypertension, heart disease and coronary heart disease. Isosorbide dinitrate (heartburn), captopril (captopril) and enteric-coated acetylsalicylic acid (aspirin ) Orally, 5% glucose injection