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患者女,57岁,头晕、心前区疼四天入院。高血压、冠心病10年,8年前脑梗塞治疗恢复。查体:Bp: 25/16kPa,心界向左扩大,心音低钝,律齐,两肺(-)。尿蛋白(+++),管型3—5个/HP,尿糖(+++)。血糖8.1mmol/L,肌酐186.3μmol/L。心电图示ST_(Ⅰ、Ⅱ)、aVF_1V_(4、5、6)水平压低0.1mV,T_(Ⅱ、Ⅲ)、aVF_1倒置。Holter 示心肌缺血。诊断:冠心病、高血压病Ⅲ期,糖尿病。入院2～3天,先后出现左右上下肢瘫痪,运动性失
Female patient, 57 years old, dizzy, pain in front of heart area four days admitted. Hypertension, coronary heart disease 10 years, 8 years ago, recovery of cerebral infarction. Physical examination: Bp: 25 / 16kPa, heart left to expand, low heart sound blunt, law Qi, both lungs (-). Urine protein (+++), tube 3-5 / HP, urine sugar (+++). Blood sugar 8.1mmol / L, creatinine 186.3μmol / L. ECG ST_ (Ⅰ, Ⅱ), aVF_1V_ (4,5,6) level down 0.1mV, T_ (Ⅱ, Ⅲ), aVF_1 inversion. Holter shows myocardial ischemia. Diagnosis: coronary heart disease, hypertension stage Ⅲ, diabetes. Admission 2 to 3 days, there have been paralyzed upper and lower limbs, loss of exercise