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王某,男.55岁,1978年起时有胸前区疼痛,多次检查心电图均正常.舌下含化硝酸甘油片及(或)吸氧症状缓解.1986年11月以来发作频繁.于当月25日入院.有高血压和高脂血症病史18年.查体:体温、脉搏正常,血压120/90mmHg.皮肤巩膜无黄染,肺(一),心界不扩大,A_2>P_2. 心尖区可闻Ⅰ级收缩期杂音,肝肋下2cm,质中,轻度触痛,麦菲征(+).B 超检查示:胆石症、慢性胆囊炎.心电图正常.肝功能:黄疸指数8u,
Wang, male, 55 years old, had pain in the anterior thoracic region from 1978, many times to check the electrocardiogram were normal, sublingual nitroglycerin tablets and / or oxygen to relieve symptoms since November 1986 frequent seizures. The hospital was admitted on the 25th of the month and had a history of hypertension and hyperlipidemia for 18 years. Physical examination: body temperature, normal pulse, blood pressure 120/90 mmHg. Scleral no yellow dye, lung (a), heart does not expand, A_2> P_2. Apex symphysis grade Ⅰ systolic murmur, liver ribs 2cm, quality, mild tenderness, McAfee (+). B-ultrasound showed: cholelithiasis, chronic cholecystitis. ECG is normal. Liver function: jaundice index 8u,