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男患,51岁。反复发作性上腹部闷痛20余天。发作时,疼痛不向其它部位放射,历时5~10分钟左右,可自行缓解。查体无特殊发现。门诊心电图示ST-T变化。拟诊:冠心病,心绞痛。误服潘生丁25片后,上腹部闷痛呈持续性加剧,约二小时后急诊住院。既往无类似发作,无典型的心绞痛史,高血压病6~7年。入院体检:痛苦貌,Bp16.0/10.7kPa,肥胖体型,两肺(-),心率112次/分,律齐,无病理性杂音,上腹部无压痛,莫菲氏征(-),其余无阳性发现。住院后经心电图及血清系列酶学动态观察,符合典型的急性前间
Male suffering, 51 years old. Repeated episodes of abdominal pain for more than 20 days. Attack, the pain does not radiate to other parts, which lasted 5 to 10 minutes, relieve itself. Physical examination found no special. Outpatient ECG shows ST-T changes. To be diagnosed: coronary heart disease, angina pectoris. Oral administration of dipyridamole after 25, the upper abdominal tenderness continued to intensify, about two hours after emergency hospitalization. No similar past seizures, no typical history of angina, hypertension 6 to 7 years. Admission examination: painful appearance, Bp16.0 / 10.7kPa, obese body type, both lungs (-), heart rate 112 beats / min, law Qi, no pathological murmur, no tenderness in the abdomen, Murphy’s sign (-) No positive findings. After hospital electrocardiogram and serum series of enzymatic dynamic observation, in line with the typical acute before