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1 病例报告 患者男性,42岁。于1998年1月初无明显诱因出现胸闷、头晕、乏力,活动时加重,休息后缓解,全无其他明显不适,未加重视,未给予任何诊治。同年2月9日,因上述症状不缓解,门诊以“心动过缓”收入院。否认患过任何疾病。出生于黑龙江省阿城市,未到过疫区,已婚,配偶健康,嗜烟、酒,使用移动电话7年。入院时查体:体温36.8℃,脉搏46次/分,呼吸18次/分,血压15/10kPa。神志清楚,略消瘦,心界不大,心率46次/分,节律规整,心音低钝。实验室及其他特殊检查如下:心电图:窦性心动过缓,45次/分,心电轴正常,ST-T无异常。肝脏轻度弥温性改变(酒精肝)。心脏阿托
1 Case Report Male patient, 42 years old. Early January 1998 no obvious incentive to appear chest tightness, dizziness, fatigue, increased activity, rest after remission, no other obvious discomfort, did not pay attention, did not give any diagnosis and treatment. February 9 the same year, due to the above symptoms do not ease, out-patient “bradycardia” income hospital. Denied suffering from any disease. Born in A City, Heilongjiang Province, has not been to the epidemic area, married, spouse health, addicted to tobacco, alcohol, the use of mobile phones for 7 years. Admission examination: body temperature 36.8 ℃, pulse 46 beats / min, breathing 18 beats / min, blood pressure 15 / 10kPa. Conscious, slightly thinner, heart is not big, heart rate 46 beats / min, regular rhythm, low heart sound blunt. Laboratory and other special examinations are as follows: ECG: sinus bradycardia, 45 beats / min, normal ECG, ST-T no abnormalities. Mild thermophilic changes in the liver (alcoholic liver). Heart Alto