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患者女性,78岁,因阵发性一过性晕厥2月余,加重3天收入院。患者自述近日于剧烈活动时或用力排便后易发生一过性晕厥,发作时意识丧失,伴出汗、四肢瘫软,心前区疼痛,10余分钟后可自行缓解。入院查体:T:36.5℃,P:68次/分,R:17次/分,BP:104/60mm Hg。心前区听诊:胸骨右缘第二肋间可闻及粗糙、响亮的收缩期3级喷射性杂音,向颈动脉及胸骨左下缘传导。既往史:高血压病史20余年。辅
Female patient, 78 years old, due to paroxysmal transient syncope in February more than 3 days income hospital. Patients reported recently in the violent activities or forced defecation prone to transient syncope, episodes of loss of consciousness, with sweating, limbs, paralysis, precordial pain, more than 10 minutes after spontaneous relief. Admission examination: T: 36.5 ℃, P: 68 beats / min, R: 17 beats / min, BP: 104 / 60mm Hg. Anterior precordial auscultation: the second intercostal space on the right edge of the sternum can be heard and rough, loud systolic ejection jet 3, to the lower left carotid artery and sternal conduction. Past history: history of hypertension more than 20 years. auxiliary