论文部分内容阅读
患者,男,53岁,因劳力性心前区闷痛九年,加重五小时入院。自九年前始,常于劳累后出现心前区闷痛,舌下含服硝酸甘油可缓解。六年前曾2次出现心前区持续性压榨样疼痛,而先后确诊为急性前壁和急性下壁心肌梗塞。无糖尿病或高血压史。查体:BP110/70mmHg,急性痛苦病容。颈静脉无怒张。双肺无罗音。心浊音界稍向左扩大,心率70次/分,律齐,心音低钝,无病理性杂音。心电图:
Patient, male, 53 years old, suffering from painful pain in front of heart nine years, increased five hours admitted to hospital. Since nine years ago, often after exertion heart area before boring pain, sublingual nitroglycerin can be alleviated. Six years ago, there were 2 times persistent precordial pressure-like pain, but has been diagnosed with acute anterior and acute inferior wall myocardial infarction. No history of diabetes or hypertension. Physical examination: BP110 / 70mmHg, acute pain and sickness. Jugular vein without tension. Lungs without rales. Turbid voice of the heart to the left to expand slightly, heart rate 70 beats / min, law Qi, low heart sound blunt, no pathological murmur. ECG: