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患者女性,78岁,安徽人,住院号11964。因胸闷心悸、气急、不能平卧17小时,伴有头痛、恶心、呕吐2次,于1984年2月21日入院。患者于2月20日晚11时30分在睡眠时突感胸闷、气急心悸,不能平卧,伴大汗淋漓,剧烈头痛,恶心,呕吐2次系胃内容物约10ml。自服冠心苏合丸、硝酸甘油片后不能缓解而来院急诊。检查呈端坐呼吸,面色苍白,血压180/130,心律齐,心率140次,无病理性杂音,两肺底布满水泡音,心电图示窦速,心肌损害,左心室高电压,按左心衰竭处理后症状逐步改善,心率降至80次,呼吸恢复正常。次日晨拟诊为冠心病左心衰竭而收入病房。
Patient female, 78 years old, Anhui person, hospital number 11964. Due to chest tightness palpitations, shortness of breath, can not lie down 17 hours, accompanied by headache, nausea, vomiting 2 times, in February 21, 1984 admission. Patients at 11:30 on the evening of February 20 at the time of sudden sensation chest tightness, anxiety and palpitations, can not lie down, with sweating, severe headache, nausea, vomiting 2 times the stomach contents of about 10ml. Self-serving crown heart Su He Wan, nitroglycerin tablets can not be relieved to hospital emergency. Check was sitting and breathing, pale, blood pressure 180/130, heart rate Qi, heart rate 140 times, no pathological murmur, the end of the lungs covered with blisters sound, ECG sinus speed, myocardial damage, left ventricular high voltage, After the exhaustion of symptoms gradually improved, the heart rate dropped to 80 times, resumed normal breathing. The next morning to be diagnosed as coronary heart disease left heart failure income ward.