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患者女性,60岁。主因头晕、憋气一年,加重10天于1986年1月17日入院。既往有高血压二十余年。体检:BP:230/120mmHg。神志清楚,呼吸较促,瞳孔等大正圆,对光反应灵敏。口唇轻度发绀,桶状胸,两肺可闻及干鸣音,心界不大,各瓣膜听诊区未闻及病理性杂音。临床诊断:高血压Ⅲ期;肺气肿。心电图示:窦性心律,心率75次/分;V_1为 rsR’波形;TⅡ、Ⅲ、avF、V_1—V_5倒置;TⅠ、avLV_6直立;为完全性右束支阻滞图形。各导联 T 波异常增宽,Q—T 间期延长至0.52秒;单纯用完全
Patient female, 60 years old. Mainly because of dizziness, suffocation for one year, increased 10 days in January 17, 1986 admission. Past history of hypertension more than 20 years. Physical examination: BP: 230 / 120mmHg. Conscious, better breathing, pupils and other large round, sensitive to light. Slight lips cyanosis, barrel chest, lungs can be heard and dry beep, heart is not, the valve auscultation area has not heard of pathological murmur. Clinical diagnosis: stage Ⅲ hypertension; emphysema. ECG: sinus rhythm, heart rate 75 beats / min; V_1 for rsR ’waveform; T Ⅱ, Ⅲ, avF, V_1-V_5 inversion; T Ⅰ, avLV_6 upright; complete right bundle branch block pattern. T-wave anomaly widening of each lead, Q-T interval extended to 0.52 seconds; simply used completely