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患者女性,72岁,因阵发性心前区疼痛一天,疑诊急性心肌梗塞于1996年5月3日急诊入院。查体:体温36.2℃,脉搏92次/min呼吸21次/min,血压18/12kPa。急性病容,自动体位,双肺呼吸音清晰,心界向左扩大,心率92次/min,心律齐,心音低钝,A_2>P_2,心脏各瓣膜区均未闻及病理性杂音。腹软肝脾均未触及.双下肢无水肿,神经系统检查:生理反射存在,病理反射均未引出。
A 72-year-old female patient was admitted to the emergency department on May 3, 1996 for suspected acute myocardial infarction due to paroxysmal one-day pain. Physical examination: body temperature 36.2 ℃, pulse 92 times / min breathing 21 times / min, blood pressure 18 / 12kPa. Acute disease, automatic position, lung breath sounds clear, the heart bound to the left to expand, heart rate 92 beats / min, heart rate Qi, heart sounds low blunt, A_2> P_2, heart valve area were not heard of pathological murmurs. Abdominal soft liver and spleen are not touched. Double lower extremity edema, nervous system examination: the presence of physiological reflexes, pathological reflex were not induced.