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例1 男性,54岁,工人。因睡眠时左胸剧烈疼痛而痛醒。于1982年3月11日急诊入院,既往有高血压、脑血管意外、冠心病史。此次值夜班时于睡眠中因剧烈胸痛醒来,急诊入院查T36.56℃,P104次/分,BP32/18.8kPa(240/140mmHg),神清、表情痛苦、面色苍白、大汗淋漓,不能平卧,全身皮肤及淋巴结如常,无呼吸困难,心界左下扩大,心率104次/分,律齐,A_2>P_2,末闻及病理性杂音,两肺无啰音,肝、脾未及,下肢无水肿。 实验室检查:血象正常,尿常规,蛋白(+),镜检红细胞偶见,白细胞O—1/高倍镜下,血沉1mm/第1小时,GPT168单位,心电图示左心室肥厚,慢性冠
Example 1 male, 54 years old, worker. Stroke due to severe left chest pain during sleep. In March 11, 1982 emergency hospital admission, previous high blood pressure, cerebrovascular accident, coronary heart disease history. The value of night work in sleep wake up due to severe chest pain, emergency admission check T36.56 ℃, P104 beats / min, BP32 / 18.8kPa (240 / 140mmHg), Shen Qing, expression pain, pale, sweating, Not supine, body skin and lymph nodes as usual, no breathing difficulties, the heart expand the lower left heart rate 104 beats / min, law Qi, A_2> P_2, the end of the story and pathological murmur, no lungs in both lungs, liver, spleen and Lower extremity without edema. Laboratory tests: normal blood, urine, protein (+), occasional red blood cell microscopy, white blood cell O-1 / high power microscope, erythrocyte sedimentation rate 1mm / first hour, GPT168 units, ECG left ventricular hypertrophy,