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患者,男性,52岁。因间断胸痛3年,加重5小时,我院急诊以“急性前间壁、前壁心肌梗塞”收入CCU病房。既往有高血压病史20年,糖尿病史4年。查体:体温36.0℃,呼吸20次/分,血压168/92mmHg,脉搏72次/分;卧位,神志清醒,口唇紫绀,颈静脉无怒张;双肺呼吸音正常,未闻罗音;心界向左扩大,心率72次/分,律齐,A_2>P_2未闻杂音;腹软,无压痛,肝脾未触及,双肾区无叩痛,肠鸣音正常;双下肢无水肿;神
Patient, male, 52 years old. Due to intermittent chest pain for 3 years, aggravating 5 hours, our hospital emergency room to “acute anterior wall, anterior myocardial infarction” income CCU ward. Past history of hypertension 20 years, history of diabetes 4 years. Examination: body temperature 36.0 ℃, breathing 20 beats / min, blood pressure 168 / 92mmHg, pulse 72 beats / min; supine position, conscious, lips cyanosis, jugular vein without tension; Heart bound to the left to expand, the heart rate 72 beats / min, law Qi, A_2> P_2 unheard noise; abdomen soft, no tenderness, liver and spleen not touched, no percussion pain in the kidney area, bowel sounds normal; God