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患者男性,55岁,因阵发性心前区疼痛10余年,加重后2周入院,既往高血压史4年,糖尿病史2年,吸烟20余年。入院查体,BP:120/80 mm Hg,HR:75次/min,心肺腹及四肢未见异常。常规化验及凝血功能正常。心电图示:窦性心律,V_3、V_4导联T波低平。心脏超声示:左室舒张功能减低,心内结沟及血流未见异常。胸部X线检查正常。入院后为了明确诊断及进一步治疗,经右股动脉穿刺行冠状动脉造影示:冠状动脉单支病变,右冠状动脉局部狭窄90%,予以PTCA并植入支架1枚。术
Male, 55 years old, suffered from paroxysmal pain in the anterior chamber for more than 10 years, admitted to hospital after 2 weeks of exacerbation, had a history of 4 years of previous hypertension, had a history of 2 years of diabetes, and smoked for more than 20 years. Admission examination, BP: 120/80 mm Hg, HR: 75 beats / min, no abnormality of the heart and lung abdomen and limbs. Routine laboratory tests and coagulation normal. ECG: sinus rhythm, V_3, V_4 lead T wave low flat. Cardiac ultrasound showed: left ventricular diastolic function reduced, intracardiac junction and blood flow no abnormalities. Chest X-ray examination was normal. After admission to confirm the diagnosis and further treatment, the right femoral artery puncture line coronary angiography showed: single coronary artery disease, right coronary artery stenosis 90%, to PTCA and stent implantation. Surgery