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患者,男,57岁,工人。心跳、气短五个月。近一周加重,于1978年1月5日入院。血压140/90毫米汞柱。神志清,呼吸平稳。双肺未闻干湿罗音。心界向左扩大,心率75次,心律不齐,无杂音。腹平软,肝脾不大。下肢无浮肿。X 光检查:双肺纹理增强,心脏左四弓大。眼底检查:可见动静脉交叉压迫。血胆固醇190毫克%。心电图检查:窦性心律,多源性室性期前收缩.室性并行心律,多导联 ST—T 改变。临床诊断:冠心病。心电图分析:上下两条为连续描记,的 aYR 导联心电图。主导心律为窦性心律,P 波依次发生,比较规整,其节律为75次/分,P—R 间期0.16秒,
Patient, male, 57 years old, worker. Heartbeat, shortness of breath for five months. Exacerbated in recent weeks, in January 5, 1978 admission. Blood pressure 140/90 mm Hg. Conscious, breathing steady. Unhealthy lung wet rales lungs. Heart to the left to expand, heart rate 75 times, arrhythmia, no noise. Abdomen soft, not large liver and spleen. Lower extremity without edema. X-ray examination: double lung texture enhancement, the left heart four big bow. Fundus examination: Visible cross-oppression of arteries and veins. Blood cholesterol 190 mg%. ECG: sinus rhythm, multi-ventricular premature contraction. Ventricular parallel heart rate, multi-lead ST-T changes. Clinical diagnosis: coronary heart disease. ECG analysis: the upper and lower two continuous tracing, aYR lead ECG. Leading rhythm of sinus rhythm, P wave occurred in order, more structured, the rhythm of 75 beats / min, P-R interval of 0.16 seconds,