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患者男,55岁。因心前区持续性疼痛3小时于1988年8月21日入院。患者于3小时前无诱因地突然心前区疼痛,呈持续性压榨样痛,向左肩及左上肢放射。伴胸闷憋气、恶心呕吐、大汗淋漓,有濒死感。20年前患风湿性心脏病,近8年来患糖尿病。查体:T36.4℃,P88次/分,BP16.9/11.7kPa。神志清,精神紧张,口唇轻度紫绀,颈静脉无怒张,双肺呼吸音清,可闻及少许干罗音。心尖搏动位于左侧第5肋
Male patient, 55 years old. Three hours of persistent pain in the precordial area was admitted on August 21, 1988. The patient had a sudden onset of pain in the precordial area three hours earlier without a cause and sustained painful press-like pain and radiation to the left shoulder and left upper extremity. With chest tightness, suffocation, nausea, vomiting, sweating, there is a sense of nearness. 20 years ago with rheumatic heart disease, diabetes in the past 8 years. Physical examination: T36.4 ℃, P88 beats / min, BP16.9 / 11.7kPa. Consciousness, nervousness, mild cyanosis of the lips, jugular vein without tension, breath sounds clear lungs, can be heard and a little dry rales. Apex beat is located on the left fifth rib